Spinal Fusion ICD-10-PCS Coding: Conquering Complexity and Confusion

Is confusion over spinal fusion procedures compromising the accuracy of your ICD-10-PCS coding? Subject matter expert Kristi Pollard tells us that inpatient coders are clamoring for guidance with reporting the various types of spinal fusion. The reason can be summarized in one word: complexity — specifically, the complexities of spinal anatomy, spinal conditions and procedures, as well as the operative reports from which ICD-10-PCS codes are derived. The resulting confusion often leads to noncompliant coding, making spinal fusion a favorite target for auditors.

An AHIMA-Approved ICD-10-CM/PCS Trainer, Kristi will present a unique ICD10monitor webcast devoted to spinal fusion. Using images to illustrate key points, she’ll explain anatomy, conditions and procedures related to spinal fusions. From there, you’ll learn how to apply coding guidelines and root operations to operative reports, enabling you to consistently arrive at the appropriate ICD-10-PCS codes.

Why This Is Relevant:

A number of factors make spinal fusions among the most difficult procedures for coders to comprehend and translate into ICD-10-PCS code assignments. First, there’s the complexity of spinal anatomy itself — very hard to visualize from two-dimensional views. Add in complex conditions (many with similar names), procedures and documentation, and you have a recipe for coding mistakes. From this ICD10monitor webcast, you’ll gain essential knowledge to ensure accurate coding and protection from adverse auditor determinations.

Learning Objectives:

• Identify the root operation for osteotomy to correct spinal deformities
• Determine when to assign a code for laminectomy
• Recognize when a 360-degree fusion has been performed
• Differentiate between anterior/posterior column and anterior/posterior approach
• Be able to apply spinal fusion coding guidelines to the selection of ICD-10-PCS codes from operative reports

Who Should Attend:

Inpatient coders, auditors, coding compliance staff, coding management and clinical documentation integrity specialists (CDISs).