Podiatry Coding & Billing Alert

Surgical Coding:

Keep Your Os Trigonum Excision Coding Straight for Maximum Benefit

Hint: Look for your podiatrist's note of a posterior tibial impingement. If you can narrow your coding options by immediately recognizing an os trigonum procedure, then you're in for fewer headaches. All you have to do is be on the lookout for the podiatrist's note of a posterior tibial impingement. Our expert advice will show you how to turn this coding challenge into a success. Make Sure Dx Code Matches Clinical Findings Your first real challenge with an os excision procedure involves choosing the right ICD-9 code. Why? Because no specific diagnosis code is intended for os trigonum syndrome. Usually, you'd choose between 726.70 (Enthesopathy of ankle and tarsus) or 726.71 (Achilles bursitis or tendonitis). "I would use the ICD-9 code for accessory bone of the foot, which is 755.67 (Congenital anomalies of foot not elsewhere classified)," suggests Arnold Beresh, DPM, CPC, podiatrist of Peninsula Foot and Ankle Specialists PLC [...]
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