Cracking the Code

Combined Anterior and Posterior Spinal Fusion

Sometimes, inpatient coders will come across lumbar spinal fusion procedures that involve both anterior and posterior approaches. Typically, there is an incision in the front of the body through the abdomen (anterior) and then another incision in the lumbar or lower back region (posterior). Be sure to thoroughly review the operative report to ensure all ICD-10-PCS codes are captured.

Reference: References: ICD-10-PCS Coding Guideline B3.10b, Coding Clinic 4th Quarter 2010 pgs. 125-129: Spinal fusion and refusion, and Coding Clinic 3rd Quarter 2013 pgs. 25-26: 360-degree spinal fusion.
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