AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-PCS New/Revised Codes
Vertebral Body Tethering
In Table 0PS, Reposition of Upper Bones, the device value 3 Spinal Stabilization Device, Vertebral Body Tether, has been added to the body part Thoracic Vertebra as shown below. Body Part Approach Device Qualifier 4 Thoracic Vertebra 0 Open 4 Percutaneous Endoscopic 3 Spinal Stabilization Device, Vertebral Body Tether Z No Qualifier A similar change was made in Table 0QS, Reposition of Lower Bones, to add the same device value to the body part Lumbar Vertebra as shown below. The change to both Tables will allow the reporting of vertebral body tethering (VBT) in the treatment of progressive idiopathic...
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Article Overview
This article covers a procedure coding update in ICD-10-PCS associated with vertebral body tethering, along with a plain-language overview of the treatment and its role in managing progressive idiopathic scoliosis. It is relevant for hospital coders, CDI professionals, and orthopaedic or spine-related revenue cycle staff who need to understand what changed, where the change applies, and the general clinical setting discussed in the guidance.
Why This Topic Matters
It helps readers recognize a coding change tied to a newer spinal treatment option and understand the clinical context in which the updated procedure reporting may appear.
Article Sections
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ICD-10-PCS table updates
Describes updates to procedure tables and identifies the affected body-part categories, approaches, device category, and qualifier framework discussed in the article.
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Clinical context for vertebral body tethering
Provides a high-level overview of vertebral body tethering as an alternative surgical treatment for progressive idiopathic scoliosis in younger patients.
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Device and procedure overview
Summarizes the general characteristics of the tethering system and the broad steps and goals of the procedure.
What You Will Learn
- What type of ICD-10-PCS update is discussed
- Which general procedure tables are affected
- How vertebral body tethering is positioned in the treatment of scoliosis
- What broad clinical and device concepts are associated with the procedure
Who Should Read This
- Inpatient coders
- Clinical documentation integrity specialists
- Revenue cycle staff
- Orthopaedic and spine coding professionals
- Health information management professionals
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