AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; Section X-New Technology

Implantation of Vertebral Mechanically Expandable Device

New table XNU, Bones, Supplement, provides two new codes to describe the percutaneous implantation of mechanically expandable (paired) synthetic substitute device to restore vertebral body height in osteoporotic lumbar or thoracic vertebral compression fractures. Body Part Device/Substance/Technology 0 Lumbar Vertebra 4 Thoracic Vertebra 5 Synthetic Substitute, Mechanically Expandable (Paired) One example of an implantable mechanically expandable synthetic substitute is the SpineJack® system. The device is implanted using a minimally invasive surgical technique via a percutaneous transpedicular approach using fluoroscopic guidance. The implants are inserted bilaterally into the vertebral body, then mechanically expanded in a craniocaudal direction, restoring the vertebral...

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