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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor
Posterior Lumbar Fusion with Discectomy
The patient presented with severe lumbar spondylosis. The surgeon accomplished posterior lumbar interbody fusion L3-L4 and L4-L5 using autologous bone graft, discectomy of L3-L4 and L4-L5, packing of the disc space with autologous bone that was harvested from the right iliac crest, and pedicle screw instrumentation. What are the appropriate ICD-10-PCS procedure code assignments? Is the discectomy coded separately or is it considered inherent to the fusion?
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