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Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force Expert Panelist, Codingline Fellow, American Academy of Podiatric Practice Management Board of Directors, American Society of Podiatric Surgeons Board of Directors, American Professional Wound Care Association Editorial Advisory Board, WOUNDS Twitter: @DrLehrman

Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

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Page 1: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Surgical Blitz ICD-10

Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

Advisor, APMA Coding Committee

Advisor, APMA MACRA Task Force

Expert Panelist, Codingline

Fellow, American Academy of Podiatric Practice Management

Board of Directors, American Society of Podiatric Surgeons

Board of Directors, American Professional Wound Care Association

Editorial Advisory Board, WOUNDS

Twitter: @DrLehrman

Page 2: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Pes Planus

• M21.40 Flat foot [pes planus] (acquired), unspecified foot

• M21.41 Flat foot [pes planus] (acquired), right foot

• M21.42 Flat foot [pes planus] (acquired), left foot

• Q66.51 Congenital pes planus, right foot

• Q66.52 Congenital pes planus, left foot

Page 3: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Acquired versus Congenital

Acquired

• Existing at birth or before birth.

• Develop during the first month of life

Congenital

• Develop over a course of one’s life.

Page 4: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Pes Planus

• M21.40 Flat foot [pes planus] (acquired), unspecified foot

• M21.41 Flat foot [pes planus] (acquired), right foot

• M21.42 Flat foot [pes planus] (acquired), left foot

• Q66.51 Congenital pes planus, right foot

• Q66.52 Congenital pes planus, left foot

Page 5: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Charcot

– M14.671 Charcôt's joint, right ankle and foot

– M14.672 Charcôt's joint, left ankle and foot

Page 6: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Ankle Replacement

– M19.071 Primary osteoarthritis, right ankle and foot

– M19.072 Primary osteoarthritis, left ankle and foot

– M19.171 Post-traumatic osteoarthritis, right ankle and foot

– M19.172 Post-traumatic osteoarthritis, left ankle and foot

– M19.271 Secondary osteoarthritis, right ankle and foot

– M19.272 Secondary osteoarthritis, left ankle and foot

Page 7: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Calcaneal Fractures

– S92.011__ Displaced fracture of body of right calcaneus

– S92.012__ Displaced fracture of body of left calcaneus

– S92.014__ Nondisplaced fracture of body of right calcaneus

– S92.015__ Nondisplaced fracture of body of left calcaneus

ALL NEED 7TH CHARACTER!!

Page 8: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Calcaneal Fractures

– S92.021__ Displaced fracture of anterior process of right calcaneus

– S92.022__ Displaced fracture of anterior process of left calcaneus

– S92.024__ Nondisplaced fracture of anterior process of right calcaneus

– S92.025__ Nondisplaced fracture of anterior process of left calcaneus

ALL NEED 7TH CHARACTER!!

Page 9: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Calcaneal Fractures

– S92.031__ Displaced avulsion fracture of tuberosity of right calcaneus– S92.032__ Displaced avulsion fracture of tuberosity of left calcaneus

– S92.034__ Nondisplaced avulsion fracture of tuberosity of right calcaneus– S92.035__ Nondisplaced avulsion fracture of tuberosity of left calcaneus

ALL NEED 7TH CHARACTER!!

Page 10: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Calcaneal Fractures

– S92.041__ Displaced other fracture of tuberosity of right calcaneus– S92.042__ Displaced other fracture of tuberosity of left calcaneus

– S92.044__ Nondisplaced other fracture of tuberosity of right calcaneus

– S92.045__ Nondisplaced other fracture of tuberosity of left calcaneus

ALL NEED 7TH CHARACTER!!

Page 11: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Calcaneal Fractures

– S92.051__ Displaced other extraarticular fracture of right calcaneus– S92.052__ Displaced other extraarticular fracture of left calcaneus

– S92.054__ Nondisplaced other extraarticular fracture of right calcaneus

– S92.055__ Nondisplaced other extraarticular fracture of left calcaneus

ALL NEED 7TH CHARACTER!!

Page 12: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Calcaneal Fractures

– S92.061__ Displaced intraarticular fracture of right calcaneus– S92.062__ Displaced intraarticular fracture of left calcaneus

– S92.064__ Nondisplaced intraarticular fracture of right calcaneus

– S92.065__ Nondisplaced intraarticular fracture of left calcaneus

ALL NEED 7TH CHARACTER!!

Page 13: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

7th character options

Page 14: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

7th character optionsFracture of calcaneus

A initial encounter for closed fractureB initial encounter for open fractureD subsequent encounter for fracture with routine healingG subsequent encounter for fracture with delayed healingK subsequent encounter for fracture with nonunionP subsequent encounter for fracture with malunionS sequela

Page 15: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Rheumatoid Arthritis

– M05.871 Other rheumatoid arthritis with rheumatoid factor of right ankle and foot

– M05.872 Other rheumatoid arthritis with rheumatoid factor of left ankle and foot

– M06.071 Rheumatoid arthritis without rheumatoid factor, right ankle and foot

– M06.072 Rheumatoid arthritis without rheumatoid factor, left ankle and foot

– M06.871 Other specified rheumatoid arthritis right ankle and foot– M06.872 Other specified rheumatoid arthritis left ankle and foot

Page 16: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Pain

– M25.571 Pain in right ankle and joints of right foot– M25.572 Pain in left ankle and joints of left foot

– M79.661 Pain in right lower leg– M79.662 Pain in left lower leg

– M79.671 Pain in right foot– M79.672 Pain in left foot

Page 17: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Thank You!!

Page 18: Surgical Blitz ICD-10 - APMA blitx icd10.pdfThank You!! Surgical Blitz ICD-10 Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force

Surgical Blitz ICD-10

Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

Advisor, APMA Coding Committee

Advisor, APMA MACRA Task Force

Expert Panelist, Codingline

Fellow, American Academy of Podiatric Practice Management

Board of Directors, American Society of Podiatric Surgeons

Board of Directors, American Professional Wound Care Association

Editorial Advisory Board, WOUNDS

Twitter: @DrLehrman