AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Tibial/Fibula Epiphysiodesis

A 12-year-old patient with left proximal tibial procurvatum and varus deformity as well as a right leg length discrepancy as a result of a left Salter-Harris fracture presents for surgical correction. A right tibia/fibula epiphysiodesis was performed by drilling a plate into the bones at the level of the physis. On the left leg using fluoroscopy, wedge osteotomy of the proximal tibia was performed followed by a proximal fibular osteotomy, allowing appropriate alignment of both bones prior to placing a blade plate at the tibial osteotomy site. Next a patellar advancement was done by freeing up the left patellar tendon and tibial tubercle. The bone was removed and the tibial tubercle was fixated with 4.5mm cannulated screws in compression. What is the correct root operation for the epiphysiodesis in addition to the correct code assignment for tibial/fibula wedge osteotomies and patellar advancement? ...

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