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March 27, 2018


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Medical Coding News Archives

March Coding Corner

 
March 14, 2017:

In the Optum360 Coding Corner, we highlight areas in which medical coding professionals are struggling for uniformity and correct coding amongst their peers. In this article, we discuss coding variances for ICD-10-CM, ICD-10-PCS and/or CPT® found on a monthly basis and explore the codes, coding concepts and conventions for those variances. We also highlight new coding information when applicable, to keep the coding community informed.

ICD-10-CM (both Inpatient and Outpatient settings)

Bunion ICD-10 codes

New diagnosis codes have been added to address laterality of a Bunion. Diagnosis codes M21.611 (Bunion of right foot), M21.612 (Bunion of left foot) and M21.619 (Bunion of unspecified foot). A new subcategory has been added to address a Bunionette, which did not exist in ICD-9-CM. Diagnosis codes M21.621 (Bunionette of right foot), M21.622 (Bunionette of left foot) and M21.629 (Bunionette of unspecified foot) have been added to this subcategory. These codes will need to be assigned based on specificity of physician documentation.

AMA CPT®

Bunionectomy Coding

Bunionectomy CPT® codes have been revised for 2017. The most notable change is that legacy named procedures, such as McBride, Keller and Chevron, have been removed from the CPT® description. The wording “any method” has been added to Bunionectomy CPT® descriptions to identify that those codes should be chosen based on location of the bone and whether the correction was done using an osteotomy or fusion. All of the Bunionectomy procedures now include wording that state “sesamoidectomy when performed.” In previous years, the CPT® description for these codes stated “with or without a seamoidectomy.” New CPT® code 28295 (Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method) has been added to the Bunionectomy section.

CPT is a registered trademark of the American Medical Association.

 

 
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