Table 2.
Strategies and associated costs for the diagnosis of PJI in knees and hips
| Strategy | Knees | Hips | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Visit | Sequence | Purpose | CPT® code | Costs (USD) | Visit | Sequence | Purpose | CPT® code | Costs (USD) | |
| Screening with ESR/CRP and arthrodesis in positive cases | 1 | Consultation | First evaluation | 99212 | 75 | 1 | Consultation | First evaluation | 99212 | 75 |
| 1 | Blood test (ESR/CRP) | Screening | 96 | 1 | Blood test (ESR/CRP) | Screening | 96 | |||
| 2 | Consultation | Evaluation | 99212 | 75 | 2 | Consultation | Evaluation | 99212 | 75 | |
| 2 | Arthrocentesis | Rule out infection | 20610 | 175 | 2 | Arthrocentesis under fluoroscopy | Rule out infection | 77002 | 200 | |
| 3 | Consultation | Establish diagnosis | 99212 | 75 | 3 | Consultation | Establish diagnosis | 99212 | 75 | |
| Requested tests: cell count and differential, aerobic culture, anaerobic culture, fungal culture | 495 | Requested tests: cell count and differential, aerobic culture, anaerobic culture, fungal culture | 495 | |||||||
| Total | 991 | Total | 1016 | |||||||
| Simultaneous serum markers and arthrodesis | 1 | Consultation | First evaluation | 99212 | 75 | 1 | Consultation | First evaluation | 99212 | 75 |
| 1 | Blood test (ESR/CRP) | Screening | 96 | 1 | Blood test (ESR/CRP) | Screening | 96 | |||
| 1 | Arthrocentesis | Rule out infection | 20610 | 175 | 1 | Arthrocentesis under fluoroscopy | Rule out infection | 77002 | 200 | |
| 2 | Consultation | Establish diagnosis | 99212 | 75 | 2 | Consultation | Establish diagnosis | 99212 | 75 | |
| Requested tests: cell count and differential, aerobic culture, anaerobic culture, fungal culture | 495 | Requested tests: cell count and differential, aerobic culture, anaerobic culture, fungal culture | 495 | |||||||
| Total | 916 | Total | 941 | |||||||
| Immediate arthrodesis | 1 | Consultation | First evaluation | 99212 | 75 | 1 | Consultation | First evaluation | 99212 | 75 |
| 1 | Arthrocentesis | Rule out infection | 20610 | 175 | 1 | Arthrocentesis under fluoroscopy | Rule out infection | 77002 | 200 | |
| 2 | Consultation | Establish diagnosis | 99212 | 75 | 2 | Consultation | Establish diagnosis | 99212 | 75 | |
| Requested tests: cell count and differential, aerobic culture, anaerobic culture, fungal culture | 495 | Requested tests: cell count and differential, aerobic culture, anaerobic culture, fungal culture | 495 | |||||||
| Total | 820 | Total | 845 | |||||||
PJI = periprosthetic joint infection; CPT® = Current Procedural Terminology; ESR = erythrocyte sedimentation rate; CRP = C-reactive protein.