September 20, 2021

APMA Trustee Patrick A. DeHeer, DPM, presented a clinical case to CMS’ ICD-10 Coordination and Maintenance Committee on September 15 regarding APMA’s request for changes to ICD-10 terminology for progressive collapsing foot deformity (PCFD). 

In June, APMA, the American College of Foot and Ankle Surgeons (ACFAS), and the American Society of Podiatric Surgeons (ASPS) submitted a request to CMS for modifications to the ICD-10-CM database to accommodate reporting of PCFD. 

There is currently no ICD-10 code to represent PCFD as it is defined in peer-reviewed literature. In his presentation, Dr. DeHeer explained PCFD using clinical references and peer-reviewed literature, then detailed proposed new ICD-10 codes that are consistent with the current structures and conventions of the classification. These changes are important because ICD-10 also plays a role in conducting research, setting health policy, epidemiology studies, clinical trials, monitoring resource utilization, improving clinical performance, tracking public health, designing health-care delivery systems, and measuring the quality, safety, and efficacy of care. In its current state, the ICD-10 code set does not allow for any of these benefits to be applied to PCFD.

APMA will keep members informed about these matters as more details become available. For additional information, contact APMA at coding.hpp@apma.org.

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