AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 1; Ask the Editor

Placement of Fat Graft following Lumbar Decompression Surgery

During a lumbar decompression procedure, a separate paramedian incision was made through the skin and subcutaneous tissue to harvest subcutaneous fat to be used as a graft. After removal of the ligamentum flavum, there was re-expansion of the thecal sac. The exposed thecal sac was covered with Surgicel gauze and fat graft that had been harvested. Are separate codes assigned for the harvesting of the fat as well as placement of the fat graft on the thecal sac? ...

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