AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor

Anterior Cervical Thoracic Fusion with Total Discectomy

A patient is admitted for surgical treatment of herniated nucleus pulposus C7-T1 with impingement on the nerve root, and radiculopathy. She underwent anterior cervical-thoracic spinal fusion, anterior approach, using interbody cage packed with demineralized bone matrix and autograft, and placement of plate and screw instrumentation with total discectomy. What is the correct ICD-10-PCS code for the spinal fusion? Should the complete discectomy be coded separately? ...

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