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

Prone Transpsoas (PTP) Interbody Fusion

A patient presented for an L3-L4 anterior lumbar interbody fusion via lateral retroperitoneal transpsoas approach. The patient was placed in the prone position in anticipation of a single-position prone transpsoas (PTP) surgery. An incision was made over the left flank, a finger was used to dissect into the retroperitoneal space, and the psoas muscle was identified. The disk space at L3-L4 was mapped out, and the diskectomy proceeded in a piecemeal fashion. Progressive trials were placed in the disk space, and appropriately sized grafts were selected. The implant was loaded with cellular allograft and inserted into the disk space. What is the appropriate code to capture the L3-L4 anterior lumbar interbody fusion via a lateral retroperitoneal transpsoas approach? ...

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