At code Table XNS, Bones, Reposition, new codes were created with a new device/substance/technology value C Posterior (Dynamic) Distraction Device, applied to the body part values for the lumbar and thoracic vertebrae as shown below. The change identifies the utilization of a posterior dynamic distraction device in procedures to treat patients with adolescent idiopathic scoliosis. In addition, the applicable ICD-10-PCS code(s) from table 0RG, Fusion Upper Joints, or 0SG, Fusion Lower Joints, should be assigned for any spinal fusion performed at the non-instrumented segment of the vertebrae.
Section: X New Technology
Body System: N Bones
Operation: S Reposition
|Body Part||Approach||Device/ Substance/ Technology||Qualifier|
|0 Lumbar Vertebra
4 Thoracic Vertebra
|C Posterior (Dynamic) Distraction Device||7 New Technology Group 7|
The ApiFix Minimally Invasive Deformity Correction (MID-C) System is a posterior dynamic deformity correction system that provides permanent curve correction while retaining spine flexibility. The system consists of a ratchet-based expandable rod, which is anchored to pedicle screws located on the concave side of a scoliotic deformity. It acts as an “internal brace” with motion-preserving polyaxial joints. Deformity correction is achieved intraoperatively by distraction leading to rod elongation. After the surgical procedure, further curve correction is achieved with scoliosis specific exercises or with normal daily activities. These exercises activate the ratchet with further rod expansion and curve reduction without the need for additional surgery.