AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Ankle and Tarsal Joint Distraction

A patient with left rear foot Charcot deformity and dislocation of the talonavicular and subtalar joints was admitted for percutaneous reduction and application of external ring fixator. The talus and talonavicular joints were reduced by pulling traction and a distal tibial ring and frame were placed to hold the reduction of the rear foot. A fragment allowed for further correction of the deformity, so pins were placed through the calcaneus, stabilized and tensioned to the ring. Additional pins were placed through the fifth metatarsal base into the navicular and through the medial cuneiform to the fifth metatarsal. An “old ring” was placed around the midfoot where wires were added and tensioned. Struts were placed from the tibial external fixator frame to the “old ring” of the midfoot. Traction on the “old ring” adducted the midfoot and forefoot to further decrease the deformity. Once the struts were stabilized, there was significant reduction of the rear foot joint talonavicular and subtalar joint deformity. What are the ICD-10-PCS codes for percutaneous reduction and placement of the external fixators? ...

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