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lumbar

  1. F

    Wiki Aspiration seroma lumbar spine

    This one has me stumped. Patient has seroma of lumbar spine. Procedure is percutaneous aspiration and drain placement. Note reads: "A needle was placed in the seroma under live fluoroscopy. A small amount of contrast was injected to verify good position and about 80 cc of bloody brownish fluid...
  2. J

    Wiki Surgery Coding Help

    Can someone help me code for this procedure please thank you! PROCEDURE PERFORMED: 1. Re-exploration of lumbar wound. 2. Utilization of intraoperative fluoroscopic imaging. 3. Removal of L4-5 transforaminal lumbar interbody fusion spacer. 4. L4-S1 posterolateral autologous lumbar fusion...
  3. D

    Wiki Please help! Neurosurgery

    Our Neurosurgery coder had to be out unexpectedly - I am only confusing myself the more I read! Please help! 1. Left-sided lumbar microlaminectomy and discectomy for HNP - L5-S1 2. Lumbar facet fusion for joint laxity. L5-S1 I believe I am confused on the combo codes - when and when not to use...
  4. V

    Wiki "L. spondylosis without radiculopathy" and "L. radiculopathy" coded together?

    "L. spondylosis without radiculopathy" and "L. radiculopathy" coded together? I do outpatient coding for a pain center and recently they've realized that certain procedures aren't being covered if the diagnosis includes "...spondylosis with radiculopathy." So the doctor has begun listing the...
  5. S

    Wiki ASC Billing/ Coding

    Our surgery center bills for the ASC Facility fee and we have an Orthopedic surgeon who wants to do a 29827 (arthroscopic rotator cuff repair) and then have a Pain Management physician come into the OR and do a 64483 (lumbar transforaminal epidural) on the same patient, for a completely separate...
    • sienamt
    • Thread
    • asc coding epidural lumbar surgery
    • Replies: 1
    • Forum: Orthopaedics
  6. 2

    Wiki Radiology coding question

    If we preform a CT of Abdomen & Pelvis with contrast and a CT Lumbar spine with contrast is ordered, the CT abdomen/pelvis is performed and the CT Lumbar images are reformatted from the CT Abd/Pelvis Acquistion; can we charge for the CT Lumbar spine if we have separate reports?
  7. T

    Wiki 63042/63030-51

    The patient underwent a "revision L5-S1 decompression/microdiskectomy". Diagnosis "Lumbar radiculopathy with scar tissue formation and intractable pain" From the op note "...recent MRI of the lumbar spine demonstrated significant scar tissue in & around the S1 nerve root..." Would the use of...
  8. E

    Wiki Evacuation of epidural hematoma, lumbar spine. Wound irrigation and debridement.

    Hello, Not to long ago I started coding Neurosurgery. I was new to it, and I am still learning. I am getting the rejection for procedure below. Please help. DIAGNOSIS: Epidural hematoma, lumbar spine. PROCEDURES: 1. Evacuation of epidural hematoma, lumbar spine. 2. Wound irrigation and...
  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. M

    Wiki 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...
  11. 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...
    • linc11
    • Thread
    • 20936 allograft autograft laminectomy lumbar
    • Replies: 4
    • Forum: Orthopaedics
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