ICD-10 Coding for Subtalar Fusion(0SGJ0JZ)
Complete ICD-10-CM coding and documentation guide for Subtalar Fusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subtalar Fusion
0SGJ0JZ-0SGJ4JZPrimary Range
ICD-10-PCS codes for fusion of tarsal joint
These codes cover the surgical fusion of the subtalar joint, specifying the approach and device used.
Key Information: ICD-10 code for subtalar fusion
Essential facts and insights about Subtalar Fusion
Primary ICD-10-CM Code for subtalar fusion
Decision Criteria
clinical Criteria
- Presence of subtalar joint degeneration confirmed by imaging
documentation Criteria
- Detailed operative note specifying graft type and fixation method
Applicable To
- Subtalar joint fusion with autograft
Excludes
- Fusion of other foot joints
Clinical Validation Requirements
- Imaging confirming subtalar joint degeneration
- Documentation of failed conservative treatment
Code-Specific Risks
- Incorrect laterality documentation
- Missing graft type specification
Coding Notes
- Ensure documentation specifies the graft type and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bone graft, any donor area; minor or small
20900Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fusion of right tarsal joint with synthetic substitute, open approach
0SGJ4JZDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Subtalar Fusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0SGJ0JZ.
Impact
Clinical: Inadequate documentation for surgical follow-up., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or audits.
Mitigation Strategy
Include graft type in all surgical reports., Use templates that prompt for graft details.
Impact
Reimbursement: Claims may be denied or delayed due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring laterality., Data Quality: Inaccurate medical records affecting patient care continuity.
Mitigation Strategy
Always specify 'right' or 'left' subtalar joint in the operative note.
Impact
Inadequate documentation of graft type can lead to audits.
Mitigation Strategy
Use detailed templates and checklists to ensure all elements are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Subtalar Fusion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subtalar Fusion
Use these documentation templates to ensure complete and accurate documentation for Subtalar Fusion. These templates include all required elements for proper coding and billing.
Subtalar fusion with autograft
Specialty: Orthopedic SurgeryRequired Elements
- Procedure description
- Approach and incision details
- Graft type and source
- Fixation method
- Post-operative care instructions
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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