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decompression

  1. A

    Wiki Spinal fusion help!

    Please help! The codes I came up with are 22633, 22840, 20930. Any spinal coders want to advise?! Procedure Performed: EXTENSION OF PREVIOUS FUSION TO L23 W/ DECOMPRESSION /ALLOGRAFT Procedure Findings: After adequate general anesthesia was attained the patient was turned into a prone...
  2. A

    Wiki Decompression of subglottic cyst

    I needed some advice on this procedure. I can't find a code for decompression of anterior subglottic cyst and I was wondering if anyone knows a code for it or what code would be best to use for the following procedure: Procedure: Flexible Fiberoptic Nasolaryngoscopy, Direct laryngoscopy...
  3. A

    Wiki Decompression of subglottic cyst

    I needed some advice on this procedure. I can't find a code for decompression of anterior subglottic cyst and I was wondering if anyone knows a code for it or what code would be best to use for the following procedure: Procedure: Flexible Fiberoptic Nasolaryngoscopy, Direct laryngoscopy...
  4. J

    Wiki Transpedicular approach with decompression 63056

    We have an Interventional Radiology group who had a salesman come in and tell them they could make "major money" performing CPT 63056 in their office. From what I can find, this "open spine surgery" procedure doesn't appear to be allowed in the office setting. In addition, I am finding many...
  5. L

    Wiki Cecostomy with decompression of the sigmoid colon

    Hello, The physician performed an open sigmoid resection with end colostomy. I have code 44143 for this part of the procedure. He then did a cecostomy (separate incision into the cecum with closure afterwards) with decompression of the sigmoid colon (milked out the contents). Any ideas on...
  6. M

    Wiki Subperiosteal vs. Transpedicular

    My surgeon will state that a "subperiosteal approach" was used for a laminoforamonity and continue to speak about the procedure being done "laterally". I'm just wondering, how can I decipher if this is the 63056 Transpedicular approach or just a 63030 posterior approach? Any advice would help...
  7. M

    Wiki Feel like this requires several unlisted codes

    I was thinking this would require CPT 29824, 29826 and then an unlisted code for the decompression of the nerve and the cyst .. is that right ? 1. Right Shoulder arthroscopy with arthroscopic decompression of suprascapular cyst with decompression of suprascapular nerve with release of the...
  8. J

    Wiki 63012

    Can I code both 63012 & 63047 when a decompression is done at two different levels during a PLIF?
  9. M

    Wiki Anterior lumbar Discectomy WITH decompression

    Provider is doing a lumbar artificial disc replacement. He indicates that he did a complete discectomy with decompression and wants to use unlisted code 22899 because code 22857 indicates discectomy (other then for decompression). as well as codes 22558,22845,22851 . The report indicates: The...
  10. I

    Wiki Diskectomy of two levels, one with arthroplasty, one without.

    Please help! Not my forte, and I am auditing this bill for a third party. :( Procedures were done on two cervical levels: C4/5 and C6/7 via anterior approach AND using fluoro On C6/7 a total anterior diskectomy was performed with decompression and an artificial disk placement with Prodisc-C...
  11. A

    Wiki dx codes to support a 360 plif fusion

    Hello, I have a neurosurgeon that performs a ton of these 360 plif spinal fusions with decompression of the nerve roots. I am trying to code the decompression with a modifier 59 to cover the foraminotomies required to free the nerve roots. Does anybody have any insight as to which dx codes...
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