ICD-10-PCS includes specific guidelines for coding spinal fusion procedures, including guidelines for selecting the body part value.
ICD-10-PCS includes distinct body part values for a single vertebral joint and for multiple vertebral joints at each spinal level.
Body part values specify:
- Lumbar vertebral joint
- Lumbar vertebral joints, 2 or more
- Lumbosacral vertebral joint
If the physician fuses multiple vertebral joints, report a separate code for each vertebral joint that uses a different device and/or qualifier.
For example: For a fusion of lumbar vertebral joint, posterior approach, anterior column and fusion of lumbar vertebral joint, posterior approach, posterior column, coders would report two codes.