AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 1; Ask the Editor
Bilateral Cuboid Osteotomy for Repair of Congenital Talipes Equinovarus
The patient was seen for repair of congenital talipes equinovarus. During surgery, an incision was made directly over the left cuboid. A closing wedge osteotomy with decancellation of the cuboid was performed to abduct the foot to a more neutral position. Wires were placed to hold it in position. Cuboid osteotomy was performed on the right foot in the same manner. What is the correct root operation for bilateral cuboid osteotomy to treat congenital talipes equinovarus? ...
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Article Overview
This premium coding article reviews a surgical scenario involving bilateral foot correction for congenital talipes equinovarus and discusses how the procedure is represented in ICD-10-PCS. It is aimed at coding professionals who need help identifying the applicable root operation and procedure coding approach for orthopedic realignment cases. The article centers on a brief operative example and the resulting code assignment.
Why This Topic Matters
Orthopedic correction cases can involve procedure-reporting choices that affect accurate ICD-10-PCS code selection. This article is relevant for coders reviewing foot realignment procedures and similar inpatient surgical documentation.
What You Will Learn
- How a congenital foot deformity repair case is framed for procedure coding
- How the operative scenario is translated into ICD-10-PCS terminology
- How a brief surgical example is used to illustrate code assignment context
- What documentation elements are highlighted in a bilateral orthopedic repair case
Who Should Read This
- Inpatient coders
- Coding educators
- Coding auditors
- Health information management professionals
Codes Discussed
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