icd 10 code for posterior spinal fusion

What is posterior approach anterior column fusion?

Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code M43.26 2022 ICD-10-CM Diagnosis Code M43.26 Fusion of spine, lumbar region 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code M43.26 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M43.26 became effective on …

What is anterior and posterior fusion?

The code for the posterior lumbar fusion is 0SG107J, with the device value being 7 for autologous substitute. The code for the discectomy is 0SB20ZZ, with the root operation being Excision. If the operative report documents that a discectomy is performed, the correct root operation is Excision.

What are the procedures for spinal stenosis?

Feb 22, 2022 · The ICD-10-PCS code for robotic assisted procedure on the spine is 8E0W0CZ – Robotic Assisted Procedure of Trunk Region, Open Approach. (Check each surgery for correct approach) BMP vs Bone Putty Sometimes surgeons use BMP which is bone morphogenic protein in their fusion surgeries.

What is the definition of spinal fusion?

Sep 26, 2016 · ICD-10-PCS Guideline B3.10c explains how to apply the device value for fusion procedures when a combination of devices is required. 360-Degree Fusion One of the most confusing procedures is a “360-degree” fusion involving both the anterior and posterior. Coders sometimes code only the anterior fusion and miss the posterior fusion.

What is the CPT code for posterior spinal fusion?

22633Code 22630 describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).1 Jun 2016

What is the ICD-10 code for status post back surgery?

Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.

How do you code a spinal fusion in ICD-10 PCS?

The codes for the anterior spinal fusion are 0SG00AJ (L4-L5) and 0SG30AJ (L5-S1). Two codes are also assigned for the posterior spinal fusion, 0SG0071 (L4-L5) and 0SG3071 (L5-S1). Codes 0SB20ZZ and 0SB40ZZ are also assigned for the discectomy performed at two different levels of the spine.

What is posterior fusion surgery?

In posterior spinal fusion your neurosurgeon adds bone graft at the back of your spine during surgery to fuse two or more vertebrae together. The word posterior also refers to the surgical approach, where the skin incision is made; the rear or back of the spine.

What is the ICD-10 code for history of spinal fusion?

Fusion of spine, lumbar region M43. 26 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M43. 26 became effective on October 1, 2021.

What is spinal fusion surgery for?

Spinal fusion permanently connects two or more vertebrae in your spine to improve stability, correct a deformity or reduce pain. Your doctor may recommend spinal fusion to treat: Deformities of the spine. Spinal fusion can help correct spinal deformities, such as a sideways curvature of the spine (scoliosis).

What is posterior approach anterior column fusion?

Posterior approach, posterior column—entry through the back of the body to perform a procedure on the vertebral foramen, spinous process, facets and/or lamina. Posterior approach, anterior column—entry through the back of the body to perform a procedure on the body of the vertebra or the disc.

What is an interbody fusion device?

An interbody fusion cage (colloquially known as a "spine cage") is a prosthesis used in spinal fusion procedures to maintain foraminal height and decompression. They are cylindrical or square-shaped devices, and usually threaded.

What is S P lumbar fusion?

Posterolateral Lumbar Fusion is a surgical procedure used to treat problems with spinal instability. It fuses together the painful vertebrae so that they heal into a single solid bone.

What is posterior spinal instrumentation and fusion?

A posterior instrumented fusion involves the placement of screws and rods. This can be done for interbody fusion or for deformity surgery such as scoliosis or kyphosis. With this procedure, innovative technology can be utilized which allows your surgeon to visualize the placement of hardware during the procedure.

What are the different types of spinal fusion surgery?

What Are The Different Types of Spinal Fusion Surgeries?Anterior cervical discectomy and fusion.Anterior lumbar interbody fusion.Lateral lumbar interbody fusion.Posterior lumbar interbody fusion.Scoliosis fusion surgery.Transforaminal lumbar interbody fusion.

What are spinal fusion rods made of?

The instruments are generally made of titanium, stainless steel, or cobalt chrome. Screws or hooks are inserted into the weakened vertebrae, as well as into adjacent healthy vertebrae. The screws or hooks serve as strong anchors to the spine.

Anterior Interbody Fusion and Posterior Fusion and Approaches

In many of the cases we reviewed, the surgeon performed an anterior OPEN approach dissecting down to the anterior spine. Sometimes this was an OLIF or Oblique Lateral approach which is an anterior approach. Many times robotics or a robot is used AND stereotactic navigation are used and both of these codes should be reported on this day.

Total vs Partial Removal of Intervertebral Disc

As coders know, if the entire disc is removed, this is coded to “Resection” root operation for the site of the disc removal i.e., cervical, cervicothoracic, thoracic, thoracolumbar, lumbar, lumbosacral. If there is not documentation of total removal of the intervertebral disc, then code to root operation “Excision.”

Decompression

A decompression of a nerve root, spinal cord OR BOTH may or may not be done during a spinal fusion. Identify the level released – Cervical, Thoracic, Lumbar, Sacral and code ONCE per level release.

Stereotactic Navigation

In the cases we reviewed, most of the time, stereotactic navigation was used. This is code 8E0WXB-Computer Assisted Procedure of Trunk Region, with the last character value telling us what the stereotactic navigation was used with:

Robotic or Robot Assistance

In some of the cases we reviewed, a robot was used during the anterior open interbody fusion. The surgeon does not always use a robot. One example is the Mazor Stealth edition. The surgeon actually documented this as a procedure in the list on the operative report.

BMP vs Bone Putty

Sometimes surgeons use BMP which is bone morphogenic protein in their fusion surgeries. BMP is a protein that can stimulate the production of bone and cartilage. A brand name coders may see is INFUSE. BMP is considered allograft. **Coding BMP is optional depending on the facility (CC1Q2018 p.8).

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim lacking the necessary information to process that claim

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Lumbar Spinal Fusion L37848.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What diagnoses require decompression at the time of spinal fusion?

If both, spinal nerves and spinal cord are released, both should be coded (only report once per spinal column level/region) Diagnoses that typically require decompression to be performed at the time of spinal fusion are spinal stenosis, claudication, radiculopathy and myelopathy.

What are the five regions of the spine?

There are five regions of the spine: cervical (7), thoracic (12), lumbar (5), sacrum (5 or 6) and coccyx (4) Two adjacent vertebrae separated by an interspace is called a vertebral joint. When multiple vertebral joints are involved in the spinal fusion, a separate procedure is coded for each vertebral joint that uses a different device and/or ...

Which column is fused?

Identifying the spinal column being fused: Anterior column (refers to the spine that is at the front of the body) Posterior column (refers to the spine that is at the back of the body)