Coding for pediatric spine deformity procedures

By Mary LeGrand, RN, MA, CCS-P, CPC

Coding for pediatric spine deformity procedures follows similar coding principles to adult spine cases. The major difference is the use of the spinal deformity codes and osteotomy codes in cases of severe scoliosis or congenital kyphosis. Laminectomy/discectomy are typically performed in conjunction with either the insertion of implants or osteotomy procedures and should not be included as a separate code.

A clearly dictated operative note defining the components of the procedure as well as the roles of co-surgeons or assistant surgeons is key to accurate coding of pediatric spine deformity procedures.

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