laminectomy

  1. E

    Wiki Why was I marked wrong? (Practicode Case ID: OPD7390)

    The documentation: How am I supposed to know that the code for the operating microscope (69990) is bundled into codes 63051 and 63001? I didn't see this specified in the guidelines for either of these codes, or in the guidelines at the beginning of the section.
  2. kimmcelderry@gmail.com

    Wiki Laminectomy with foraminotomy of S2

    In addition to PSF, the phys states he performed a Ponte osteotomy L5-S1 and a laminectomy, facetectomy, foraminotomy of L5, S1 and S2. I know the 22212 is bundled with 63047 (L5-S1) But what about the S2? "Attention was directed towards the Ponte osteotomies at L5 S1 where there was...
  3. 5

    Wiki 63655 vs 63664 coding help

    We are looking for help with coding the revision code or initial placement code, in the case where a patient has epidural SCS Leads removed and paddle leads implanted. If they never had paddle leads before and the laminectomy is a new procedure done in order to place the paddle leads, would we...
  4. C

    Wiki Posterolateral arthrodesis and open laminectomy

    Hello, I am very new to neurosurgery and came across an op report that is confusing me. I have attached the report. So far I have 63001 and 63003. Any help or guidance with be very much appreciated. Thank you!
  5. C

    Wiki How would you code ? 63047/63048/63030/22633

    Hi! Need some help. Doc performed posterolateral arthrodesis (22633) and the below codes, but I don't agree that the records show enough to support. I'm looking at a record and it states: "hemilaminectomy was performed at L5 and a complete facetectomy at L5-S1 on the left side. The transversing...
  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 63030 vs 63047, Need some Laminotomy / Laminectomy clarity

    I have been trying to figure out the difference between the Laminotomy vs Laminectomy. We are having issues where the Surgeon is indicating 63047 Laminectomy is performed but throughout the Op note states he does a 63030 Laminotomy. Can you read this OP note and tell me if you think the...
  8. Z

    Wiki Post Op Complications After Laminectomy and Discectomy

    I am new to coding for Orthopaedics. I need help coding for post op complications of lumbar disc herniation and two dural tears after a laminectomy and a discectomy. These complications occurred in the same patient. Any help would be greatly appreciated.
  9. B

    Wiki laminectomy and disectomy for spinal stenosis

    In my example the surgeon performs a posterior laminectomy and a discectomy for spinal stenosis. The code description 63047 does not mention a disectomy. The code 63030 menions a laminotomy/hemilaminectomy Would 2 codes be used: 63047 & 63030? Or only 63047 with the assumption that a...
  10. L

    Wiki 20936????? laminectomy

    Help! I have a surgeon who insists on coding a 20936 (autograft) when he mixes together beta tricalcium phosphate (allograft), with bone marrow aspirated from the patient. Has anybody else ever heard of this? I believe this should be coded as a straight allograft 20930 and bone marrow...
Top