Part 13: Spinal Fusion Coding — Harvesting of Autograft for Spinal Fusion

by | Oct 7, 2019 | Coding Tips, Education, ICD-10, Kim Carrier, Spinal Fusion Coding | 0 comments

Kim Carrier RHIT, CDIP, CCS, CCS-P
Director of Coding Quality Assurance
AHIMA Approved ICD-10-CM/PCS Trainer

In Part 12, we focused on intra-operative peripheral neuro monitoring used during spinal fusion surgery. In Part 13, we are going to focus on harvesting of autograft and is it coded.

Remember in Part 6, we learned that autograft is bone from the patient.

Harvesting of the autograft for spinal fusion—is it coded?

YES and NO! It all depends on where the autograft is obtained from.

If the bone obtained for the autograft is at a different body site than the spinal fusion, then YES the harvesting of the autograft is coded separately.

If the bone obtained for the autograft is at the site of the spinal fusion, then NO the harvesting of the autograft is not coded separately.

Per the ICD-10-PCS Official Guidelines for Coding and Reporting 2019, “If an autograft is obtained from a different procedure site in order to complete the objective of the procedure, a separate procedure is coded.” For spinal fusion reporting, an example would be when the autograft is taken from the iliac crest and used during the spinal fusion. A separate code would be reported for the harvesting of the autograft since it is not in the spine area. Another example would be when the autograft is taken from the disc space during discectomy to use for the spinal fusion. A separate code would NOT be reported for the harvesting of the autograft from the disc space since it is at the site of the spinal fusion.

View parts 1-12 of this series here: hiacode.com/topics/series/spinal-fusion-coding/.

Be on the lookout for Part 14 which will focus on putting all these past spinal fusion tips together as a reference type page.

References
ICD-10-PCS Official Guidelines for Coding and Reporting 2019
Coding Clinic, Second Quarter 2014: Page 7
Coding Clinic, Third Quarter 2013: Page 25

Happy Coding!

The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.

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