AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1; Ask the Editor

Mid-Foot Amputation

A patient, who is status post open fourth and fifth ray amputation left foot, was admitted for a left midfoot amputation at the level of the Lisfranc joint. At surgery, full-thickness necrosis and dry eschar surrounding the site of the previous ray amputations were noted. Soft tissues were dissected off the underlying metatarsal bones; the forefoot was disarticulated at the level of the Lisfranc joint/tarsometatarsal joint. What is the appropriate ICD-10-PCS procedure code for the amputation? ...

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