AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 2; Ask the Editor

Stimulan® Rapid Cure Antibiotic Bead Placement

A 77-year-old patient with a history of C2-L2 posterior instrumentation and fusion presented for hardware removal due to cervical and thoracic wound infection. Following removal of hardware and debridement during a separate operative episode, the patient was brought back to the operating room for fusion along with placement of Stimulan®, an antibiotic bead bone void filler. The wound was opened, and decortication was performed bilaterally through levels C2-L2. Following decortication, antibiotic beads filled with mitomycin and tobramycin, were placed at the decortication site as an allograft to enhance the fusion posterolaterally. The wound was then closed. What is the appropriate code assignment for the fusion using the placement of antibiotic beads? ...

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