AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-PCS New/Revised Codes
Sesamoidectomy of Great Toe
In Table 0QB, Excision of Lower Bones, the qualifier value 2 Sesamoid Bone(s) 1st Toe, has been added to the body part values N Metatarsal, Right and P Metatarsal, Left, to identify procedures such as excision of the fibular or tibial sesamoid bone as shown below. Refer to Coding Clinic Second Quarter 2021, pages 18 and 19, for a case study and more information on tibial sesamoidectomy. Body Part Approach Device Qualifier N Metatarsal, Right P Metatarsal, Left 0 Open 3 Percutaneous 4 Percutaneous Endoscopic Z No Device 2 Sesamoid Bone(s) 1st Toe X Diagnostic Z No Qualifier ...
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Article Overview
This premium article is a brief coding update focused on ICD-10-PCS table content for lower bone excision involving the first toe’s sesamoid bones. It is useful for coders working in inpatient procedure coding, especially those reviewing table structure, body part values, approach values, device values, and qualifier updates tied to this anatomy. The article also references a Coding Clinic case study for readers who want additional background.
Why This Topic Matters
Updates to procedure table structure can affect code assignment and documentation interpretation for lower-extremity bone excision cases. This article helps coders recognize that a specific sesamoid-related qualifier has been added and understand where it fits within the ICD-10-PCS table framework.
What You Will Learn
- How the relevant ICD-10-PCS table has been updated for great toe sesamoid procedures
- Which table elements are involved in the procedure category
- Where to look for additional Coding Clinic context on the topic
- How the article frames the update for inpatient procedure coding review
Who Should Read This
- Inpatient coders
- ICD-10-PCS coders
- Coding auditors
- Coding educators
- Clinical documentation improvement professionals
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