AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; New/Revised ICD-10-PCS Procedure Codes
Magnetic Growth Rods
In code table XNS, Bones, Reposition, a new approach value was added and a prior approach value was deleted for better clinical coherence. Approach3 Percutaneous 4 Percutaneous Endoscopic Code table XNS captures the surgical insertion of magnetically controlled spinal growth rods. Growth rods are a technique for treating scoliosis in children and are usually placed in combination with fusion. The percutaneous endoscopic approach is not used. Instead, the rods may be placed via an open approach or a percutaneous approach, as now reflected in code table XNS. Assign a separate code for any spinal fusion. Growth rods, both conventional...
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Article Overview
This article reviews an ICD-10-PCS coding update related to magnetically controlled spinal growth rods and their placement in pediatric scoliosis treatment. It explains the relevant procedure table change, the broad clinical context for growth rod procedures, and how related spinal fusion or replacement/revision services are discussed for coding reference. The article is intended for coders and others working with inpatient procedure coding who need to understand the scope of the update and related procedure coding issues.
Why This Topic Matters
Growth rod procedures involve specialized spinal surgery coding that can affect procedure selection and reporting accuracy. Understanding the update helps coding staff identify the proper ICD-10-PCS framework for these cases and recognize when additional procedure coding may be involved.
Article Sections
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ICD-10-PCS table update and approach values
This section describes a change in the procedure table and the affected approach values. It provides the structural coding context for the update.
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Magnetically controlled growth rods in scoliosis care
This section discusses the clinical setting for magnetically controlled spinal growth rods and their relationship to pediatric scoliosis treatment. It also notes the general procedural context in which these devices are placed.
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Replacement or revision scenario
This section presents a coding scenario involving removal of a prior device and placement of a new one. It frames the type of inpatient procedure example addressed in the article.
What You Will Learn
- The coding topic addressed by the ICD-10-PCS update
- How the article situates magnetically controlled spinal growth rods within scoliosis treatment
- What general procedure coding issues are discussed when a growth rod is replaced or revised
- How related spinal procedure coding is framed in the article
Who Should Read This
- Inpatient coders
- Coding educators
- Clinical documentation staff
- Health information management professionals
Codes Discussed
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