AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor

Placement of Vertical Expandable Prosthetic Titanium Rib (VEPTR)

The patient has a rib deformity due to severe idiopathic infantile thoracic scoliosis and is status post placement of vertical expandable prosthetic titanium rib (VEPTR). The patient is admitted for bilateral VEPTR lengthening. During surgery, the old incisions over the VEPTR lengthening mechanism were used for the approach. The left and then the right locking mechanisms were exposed; the clips were removed; and the distractor was inserted to extend the VEPTR lengthening mechanism approximately 1 cm on the right and similarly on the left. A new locking clip was placed into position and crimped to secure a satisfactory seating. The patient also had intra-operative evoked potential monitoring done during the surgery. How should this case be coded? ...

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