AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Elongation Derotation Flexion Casting

A patient with early onset infantile idiopathic thoracic scoliosis is admitted for elongation derotation flexion (EDF) cast change. During the procedure the patient was placed in traction and a derotation maneuver was performed as well as further extension of the spine prior to placing the final casting material. Since the objective of the casting is to reposition the vertebrae, would “Reposition” be the correct root operation? Or is the root operation “Immobilization” more accurate to describe the immobilization of the spine through the use of casting material? ...

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