Our pediatric ortho spine coder is out on vacation this week ... I can get more info next week.
If you are talking about the original fusion w/ instrumentation I think you would use the appropriate segmental instrumentation code, depending on posterior/anterior and number of vertebral segments.
If you are talking about removal of the hardware, that is 22852 or 22855 (depending on if it's posterior or anterior).
If you are talking about the adjustment to allow the rod (and the patient) to "grow" ... I think this is the unlisted code 22899, but I'm not 100% certain.
Also ... if the surgeon is really talking about VEPTR (Vertical Expandable Prosthetic Titantium Rib) which is an expandable rod that will "grow" with the child ... those are a completely different set of codes.
If you don't get a more definitive answer by next week, I'll ask Nancy, our pediatric spine surgery coding guru.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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