AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor
Chopart Amputation of Foot
A 9-year-old male patient with gangrene, myelomeningocele with insensate feet, and chronic osteomyelitis of the left foot, underwent Chopart amputation. The midfoot was disarticulated at the talonavicular and the calcaneocuboid joints. The bones of the mid-foot along with the metatarsals were carefully separated from the underlying plantar soft tissues. The toes and the remainder of the dorsum of the foot were removed. What is the correct code for Chopart amputation of the foot by disarticulation at the talonavicular and the calcaneocuboid joints? ...
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Article Overview
This article reviews a foot amputation procedure involving midfoot disarticulation and explains its classification within ICD-10-PCS. It is relevant to coders and clinical documentation reviewers who need to understand how this type of procedure is represented in procedure coding and how the documented anatomy affects code selection. The article presents a focused coding question, the supporting clinical context, and the resulting ICD-10-PCS assignment.
Why This Topic Matters
Foot amputation procedures can be documented in different ways depending on the level and method of detachment, so precise coding depends on understanding the operative anatomy and the procedure classification framework. This article helps readers interpret a surgical description in the context of ICD-10-PCS.
What You Will Learn
- How a described foot amputation procedure is interpreted for ICD-10-PCS coding
- How the documented operative site and method relate to procedure classification
- How a specific clinical scenario is matched to a procedure code set entry
- What information in the operative note is relevant to procedure coding review
Who Should Read This
- Certified professional coders
- Hospital outpatient coders
- Inpatient coding staff
- Coding educators
- Clinical documentation improvement specialists
- Audit reviewers
Codes Discussed
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