“How do you code for a fracture of the tibial sesamoid? Is it any different if you considered it to be a symptomatic, bipartite tibial sesamoid? What about an avascular necrosis of the tibial sesamoid?”
It appears that the issue at hand relates to ICD-10-CM codes that apply to tibial sesamoid pathology. With respect to a fracture of the tibial sesamoid, the most appropriate ICD-10-CM codes would be the following:
S92.901-. This is defined as: Unspecified fracture of right foot.
S92.902-. This is defined as: Unspecified fracture of left foot.
Of course, when it comes to fractures, the 7th character needs to be added to the base code.
** Fracture Care Seventh Character Codes:
A = Initial encounter for closed fracture
B = Initial encounter for open fracture
D = Subsequent for normal healing fracture
G = Subsequent encounter for delayed healing fracture
K = Subsequent encounter for fracture with non-union
P = Subsequent encounter for fracture with mal-union
S = Sequela of fracture
With respect to a bipartite tibial sesamoid, the most appropriate ICD-10-CM code would be the following:
M89.8X7 which is defined as: Other specified disorders of bone, ankle and foot.
With respect to avascular necrosis of the tibial sesamoid, the most appropriate ICD-10-CM code would be the following:
M87.074 which is defined as: Idiopathic aseptic necrosis of right foot.
M87.075 which is defined as: Idiopathic aseptic necrosis of left foot.
To complete the package, what about tibial sesamoiditis?
M25.871 which is defined as the following: Other specified disorders, right ankle and foot.
M25.872 which is defined as the following: Other specified disorders, left ankle and foot.
This is my opinion.
Michael G. Warshaw
DPM, CPC
GREAT NEWS!!!
THE 2024 PODIATRY CODING MANUAL IS NOW AVAILABLE in either Book or Flashdrive formats. It has been completely updated for the calendar year 2024. Many offices across the country consider this to be their “Bible” when it comes to coding, billing, and documentation. The price is still only $125 including shipping! To purchase, access the website drmikethecoder.com.
No credit card? No problem! Just send a check for $125 to the following address:
Dr. Michael G. Warshaw
2027 Bayside Avenue
Mount Dora, Florida 32757
Read Comments