AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 2; Ask the Editor
Removal of Polydactyl Digits
A newborn with polydactyly and a supernumerary digit of the fifth finger on the right hand underwent surgical excision. The surgery involved cutting through bone and other tissues to completely remove the supernumerary digit. What is the ICD-10-PCS procedure code for the excision of the accessory digit? ...
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Article Overview
This premium coding article focuses on ICD-10-PCS assignment for removal of an accessory finger digit in a newborn with polydactyly. It is intended for inpatient coding professionals, auditors, and clinical documentation specialists who need to understand how the procedure should be classified and why the documented surgical wording may not match the final coding approach. The article centers on a short clinical scenario and the resulting coding guidance for the procedure.
Why This Topic Matters
Accurate procedure classification for congenital digit removal affects inpatient coding consistency and procedural data quality.
What You Will Learn
- How a polydactyly-related digit removal is classified in ICD-10-PCS
- How the documented operative wording relates to procedure classification
- How congenital hand anatomy affects procedure coding selection
- How to interpret a brief clinical example involving accessory digit removal
Who Should Read This
- Inpatient coders
- Coding auditors
- Clinical documentation specialists
- Health information management professionals
Codes Discussed
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