![]() ![]() BMP is used for fusion without the need of the patient’s own bone. Bone Morphogenetic Proteins (BMP)-when used these stimulate the bone growth naturally.Using these do not present a risk for disease transfer like in allograft. These are usually used in combination with the patient’s own bone. These allow for bone growth and are resorbed by the body. Synthetic Bone Graft Extenders-such as calcium phosphates, ceramic and other synthetic material with similar biomechanical properties and structures that are similar to that of cadaver bone. ![]() DBM is used as a bone graft extender to obtain more graft volume when needed. DBM can be found is various forms like chips, gel, putty or powder. Demineralized Bone Matrix (DBM)-allograft cadaver bone is manipulated (demineralized) to extract the proteins that stimulate/promote bone formation.There are several types of bone graft substitutes used in spinal fusions: 1. Bone graft substitutes-these are synthetic or a manipulated type of naturally-occurring product.These are coded to non-autologous tissue substitute in ICD-10-PCS fusion procedures when used alone. Allograft bone is oftentimes used as a supplement to the patient’s own bone. This is the most commonly used alternative to a patient’s bone/autograft. Allograft-this is bone that comes from a cadaver or bone graft substitute/tissue bank.These are coded to autologous tissue substitute in ICD-10-PCS fusion procedure when used alone. Local bone from the lamina and spinous process bone are also considered to be autograft. The iliac crest is the most common donor area used for an autograft in spinal fusion. Autograft-this comes from the patient’s own bone.The bone graft is the material used that will allow a bridge between two vertebral segments in the spine, resulting in spinal fusion. In ICD-10-PCS coding the type of bone graft product is represented with the 6th character (device) of the fusion code. ![]()
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