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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 1; Ask the Editor

Spinal Fusion without Use of Bone Graft

A patient with progressive idiopathic thoracolumbar scoliosis, spondylosis with foraminal stenosis and rib cage deformity was admitted for spinal fusion surgery. Through a right thoracotomy approach, a right anterior spinal fusion was performed with placement of screws into the vertebral body and seating of a rod cord at T5-T11. Significant correction of the scoliosis curve was obtained across the thoracic levels. The patient was repositioned for exposure of the left side to complete left anterior spinal fusion at T11-L4. Screws were placed into the vertebral body and a rod cord was secured across the levels with significant correction of the scoliosis and derotation of the lumbar segments. What are the code assignments for this procedure? ...

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