AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor

Rotational Osteosynthesis

A seven-year-old boy diagnosed with left distal femur osteosarcoma underwent surgery. The surgeon resected 18 centimeters of the distal femur and the entire knee joint down to subcondylar bone on the tibia. Following resection of the left distal femur osteosarcoma, left femur to left tibia rotational osteosynthesis was performed. The tibial component was rotated 180 degrees and a plate was attached on the lateral side of the femur and the rotated medial side of the tibia (rotated 180 degrees so it has become the lateral side). The tibia was fixed first onto the plate with screws, and after the screws were placed into the femoral side, rotation was confirmed. What is the correct root operation for the left femur to left tibia rotational osteosynthesis? ...

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