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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 3; Ask the Editor

Mid-Foot Fusion with Bone Graft

The patient had severe osteoarthritis of the midfoot, including the naviculocuneiform joint, and underwent left mid-foot fusion. During the procedure, an incision was made and the second and third tarsometatarsal joints were identified and prepared for fusion into the medial and lateral cuneiform navicular joints. Screws were placed from the first metatarsal into the medial cuneiform. Staples were inserted from the medial cuneiform into the second metatarsal and from the third metatarsal into the lateral cuneiform. A staple was placed from the lateral cuneiform into the navicular. Bone harvested throughout the procedure was mixed with cellular allograft and placed inside the joints. What are the appropriate procedure codes for the ankle arthrodesis of the midfoot? ...

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