Easy and Best Spinal Fusion PCS Coding Tool availbale online for free– IP-DRG Edition

Spinal Fusion PCS Coding Tool

IP-DRG Inpatient Coder Edition  ·  Follows real ICD-10-PCS tables & audit rules

1. Spine Region -- Select -- Cervical (C1–C7) — Upper Joints 0RG Thoracic (T1–T12) — Upper Joints 0RG Lumbar (L1–L5) — Lower Joints 0SG Lumbosacral / Sacral — Lower Joints 0SG

💡 Mnemonic: "Cats Take Long Steps" — Cervical · Thoracic · Lumbar · Sacral

2. Surgical Approach -- Select -- Posterior — patient PRONE, back incision Anterior — patient SUPINE, abdomen/neck incision Lateral — side incision (XLIF / OLIF / DLIF) Combined 360° — BOTH anterior + posterior used

💡 Mnemonic: "Belly = Anterior · Back = Posterior · Side = Lateral"

3. Fusion Technique -- Select -- PLF — Posterolateral Fusion (graft beside transverse processes) PLIF — Posterior Lumbar Interbody Fusion (cage from back) TLIF — Transforaminal Lumbar Interbody Fusion (cage, one side) ALIF — Anterior Lumbar Interbody Fusion (cage from front) ACDF — Anterior Cervical Discectomy & Fusion PLF + Interbody (Combined technique, same surgery) 4. Fusion Level — Start 5. Fusion Level — End 6. Device / Graft Used No graft or device — Reposition, NOT fusion Interbody Cage (BAK / PEEK / titanium) → Device value: A Autologous Graft (patient's own bone) → Device value: 7 Nonautologous Graft (DBX, Vivigen, allograft) → Device value: K Mixed Graft (auto + nonauto combined) → Device value: 7

💡 Golden rule: "No graft = No fusion" · If cage present → always Device A, even with graft

7. Severity (CC / MCC) No CC / MCC CC present (e.g. radiculopathy, mild PNA) MCC present (e.g. cord injury, respiratory failure) 8. Additional Procedures (select all that apply)

Nerve root decompression Spinal cord decompression Hardware removal (prior) BMP used (INFUSE) Discectomy for pathology SI joint fusion (fusion to pelvis)