AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Cervical Spinal Fusion, Decompression and Placement of Interfacet Stabilization Device

The patient, who has been diagnosed with cervical spinal stenosis, myelopathy and radiculopathy, presents for surgical treatment consisting of percutaneous posterior placement of DTRAX interfacet stabilization device with bone graft (C3 through C6). Under fluoroscopic guidance, procedures performed included posterior laminectomy for decompression and partial facetectomy. Harvesting of bone graft from the left iliac crest was accomplished via an open approach. Would the placement of the DTRAX interfacet stabilization device be coded using the root operation “Insertion” or “Fusion?” What are the correct ICD-10-PCS code assignments? ...

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