AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 3; Ask the Editor

Nuss Procedure with/without Fiber Tape and Cryoablation/Cryoanalgesia

A patient with severe pectus excavatum was taken to the operating room for a bilateral Nuss procedure with thoracic nerve cryoablation. Access was gained to the interspace area for two bar placements via lateral chest wall incision on each side with subpectoral flap exposure. Following this, 5mm trocars were placed bilaterally and thoracoscopic nerve cryoablation was performed at levels T3-T7. Next, upper and lower pectus bars were placed using a pectus bar tunneler from the previously exposed parasternal area and bent to conform to the chest, and both bars were stabilized on each side with fiber tape. What is the code assignment for a Nuss procedure when fiber tape is utilized? Is a separate code assigned for cryoablation? ...

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