AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor

Removal and Replacement of Displaced Growing Rods

The patient is a five-year-old with severe juvenile scoliosis. She had previously undergone placement of growing rods and the proximal hooks have become dislodged. She is now being admitted for removal and replacement of proximal hooks and growing rods. During surgery the entire growth rod was removed and a new device was placed. A pedicle hook was placed in the fusion mass on the left and then a down-going laminar hook was placed around the fusion mass superiorly at the T4 level. At the T3 level on the right, a claw construct with an up-going pedicle hook and a down-going laminar hook was placed. The rods were then cut and contoured and replaced first on the left. Eyebolts were placed above the hooks and the hooks were compressed. The same procedure was repeated on the right. Both rods were lengthened approximately a centimeter and the new eye bolts were tightened up and sheared. Intraoperative neuromonitoring was also done during surgery. What are the appropriate ICD-10-CM/PCS diagnosis and procedure codes? ...

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