AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Quarter 3; Corrections and Clarifications
Midfoot Fusion
In Coding Clinic , Third Quarter 2021, page 24, in addition to procedure codes for the tarsal fusion between the navicular and cuneiform, two tarsometatarsal (TMT) fusion codes were assigned for fusion with bone graft and internal fixation for the fusion between the first metatarsal and the medial cuneiform (Table 0SG). However, in the question narrative, fusions were also performed on the second and third tarsometatarsal joints. The second metatarsal was fused to the medial cuneiform and the third metatarsal was fused to the lateral cuneiform both with fixation and bone grafts. In this case, would ICD-10-PCS Guideline B3.2b apply and fusion codes assigned for the second and third TMT joint fusions in addition to the codes provided in the answer, since each TMT joint is a distinct anatomic body part? ...
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Article Overview
The article reviews prior Coding Clinic guidance concerning midfoot fusion procedures and discusses ICD-10-PCS guidance for multiple procedures. It is relevant to professionals who follow updates and clarifications in inpatient procedure coding.
Why This Topic Matters
The article addresses a clarification to previously published guidance, making it useful to readers tracking ICD-10-PCS interpretation and updates related to midfoot procedures.
What You Will Learn
- The context of the prior Coding Clinic discussion about midfoot fusion.
- The general ICD-10-PCS topic addressed in the clarification.
- How the article relates to multiple procedures performed during one operative episode.
- intended_audiences
Who Should Read This
- Inpatient medical coders
- Coding auditors and educators
- Health information management professionals
Codes Discussed
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