AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2013 Issue 1; Ask the Editor - ICD-10-CM/PCS Coding Questions

Spinal Fusion of Thoracic and Lumbar Vertebrae

A patient is diagnosed with T10 chronic burst fracture with subsequent kyphotic collapse resulting in myelopathy and severe myelopathy secondary to spinal cord injury. The procedure is listed as T9, T10, T11 laminectomy, facetectomy, foraminotomy. A transpedicular approach to the T10 vertebral body was used for spinal cord decompression. Instrumentation with pedicle screw and rod construct was placed from T6, T7, T8, T9, T11, T12, L1 and L2. Posterior arthrodesis of T6, T7, T8, T9, T10, T11, T12, L1 and L2 was performed with use of local autograft and allograft. Provider documentation in the body of the operative report indicates arthrodesis, placement of all of the local autograft, as well as crushed cancellous allograft and bone morphogenetic protein (BMP). What are the correct ICD-10-PCS codes for the number of interspaces fused? ...

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