Procedure Type: Hip Arthroplasty

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Description

This phenotype determines whether a case had a Hip Replacement procedure using logic based upon a combination of Anesthesia CPT codes and procedure text.

Limitation

May include cancelled cases.

Relies on accurate procedure text documentation, anesthesia, and surgical CPT codes.

Data quality is limited to individual site documentation accuracy, completeness, and variable mapping, which is performed by each site, independently. MPOG, as the coordinating center, reviews data quality at each data upload and monthly via Data Diagnostics and Case Validation tools. This review, while thorough, may not contain all data elements relevant to this phenotype and thus should be carefully reviewed by the user.

Value Type

Categorical

Enumeration

Value	Value Code	Definition

Return Columns

Name	Data Type

Granularity

Logic

Step 1. Was case classified as valid case using the Is Case Valid phenotype. If No, mark No. If Yes, proceed to step 2.

Step 2. Was case classified as valid case using the Procedure Type: Intubation Only phenotype. If Yes, mark No. If No, proceed to step 3.

Step 3. Check if the case matches its Primary CPT with the list of CPT codes below. If yes, proceed to step 6. If no, procedure to step 4.

Surgical CPT: 27130, 27132
Anesthesia CPT: 01214

Step 4. Does the case have the following procedure text? If no, mark no. If yes, proceed to step 5.

"Hip"

Step 5. Does the case not have Anesthesia CPT 01214 have have a value like the following procedure text? If yes, mark No. If No proceed to step 6.

"Arthrop"

Step 6. Does the case have the following procedure text? If yes, mark no. If yes, proceed to step 7.

Elbow
Neck
Knee

Step 7. Does the case have only the following specific text? If yes mark "Total Hip Arthorplasty Only", If no, proceed to step 8.

Text
- "Total Hip Arthroplasty"
- "Total Hip Replacement"
Additional Rules:
- If procedure text contains left or right, remove them when evaluating for the above text.

Step 8. Does the predicted Anesthesia CPT = 01214? If so, proceed to step 11. If no, proceed to step 9.

Step 9. Does the case contain CPT codes other the ones listed below? If Yes, mark "Hip Arthroplasty plus another procedure." If no, proceed to step 10.

Surgical CPT: 27130, 27132

Step 10. Using the Procedure Type: Cardiac phenotype, was the value code 1-4? If yes, return "Hip Arthroplasty plus Another Procedure." If no, check Procedure Type: Endoscopy if the value code is 1 or 2. If yes, return "Hip Arthroplasty plus Another Procedure." If no, check Procedure Type: Middle Ear Procedures if the value code is 1. If yes, return "Hip Arthroplasty plus Another Procedure." If no, proceed to step 11.

Step 11. Does the case have the following procedure text? If yes, return "Hip Arthroplasty plus Another Procedure." If no, proceed to step 12.

Ankle, argon, burn, carpel, cautery, coag, CO2, dental, excision, extract embolization, debridement, debulking, destruction, laser, lysis, port, resection, revision, stent, strip, transplant, tumor, uterus, valve, wrist OR
Text that begins with cysto-, thoraco- OR
Text that ends with -ectomy, -ostomy, -otomy,

Step 12. Does the case have the follwing procedure text? If yes, return "Hemi Hip Arthroplasty." If no, return "Total Hip Arthroplasty"

Hemi, partial