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Pediatric spine surgeons coding their cases benefit from a more limited number of typical procedures compared to other subspecialties. However, each surgery involves several CPT codes and their details can be confusing. Many of us adopt the coding of our training mentors, but different hospital billing teams may understand operative dictations differently, new procedures may have been introduced since then, and as in a game of telephone, some misinterpretation may occur as coding wisdom is passed down. We aim to address the coding of some of the most common pediatric spine procedures to help new surgeons while also covering some details that even the most experienced will gain new insight into. As always, these are meant as examples and ultimately, your coding should reflect what you did in the operation.