AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Clarification

Fusion Procedures of the Spine

ICD-10-PCS Guideline B3.10c on Fusion Procedures of the Spine advises how to code combinations of devices and materials that are used for fusion of a vertebral joint. However, there is confusion regarding how to interpret the use of an interbody fusion device “alone” when Coding Clinic has made it very clear that a spinal fusion requires a bone graft or a bone graft substitute. What is the meaning of the word, “alone” in the parenthetical phrase “alone or containing other material like bone graft” in Guideline B3.10c? Can an interbody fusion device be placed alone, without bone graft material? ...

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