Latest activity

If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..

Tags

lumbar

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...
- fltbaroque
- Thread
- Dec 22, 2019
- lumbar seroma
- Replies: 0
- Forum: Orthopaedics
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...
- jarquizar
- Thread
- Nov 20, 2017
- fusion help!! lumbar procedure surgery
- Replies: 3
- Forum: Neurology/Neurosurgery
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...
- dharris0330
- Thread
- Sep 23, 2017
- diskectomy fusion lumbar neurosurgery spine
- Replies: 0
- Forum: Neurology/Neurosurgery
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...
- valeriejames88
- Thread
- Apr 12, 2016
- fraud lumbar radiculopathy spine spondylosis
- Replies: 2
- Forum: Outpatient Facilities
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
- Feb 18, 2016
- asc coding epidural lumbar surgery
- Replies: 1
- Forum: Orthopaedics
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?
- 2rjjapetal
- Thread
- Feb 15, 2016
- acquistion; contrast lumbar reformatted spine
- Replies: 0
- Forum: Medical Coding General Discussion
T
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...
- tmarugg
- Thread
- Feb 11, 2016
- correct discectomy lumbar scar tissue
- Replies: 1
- Forum: Neurology/Neurosurgery
M
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...
- Missy13
- Thread
- Jan 13, 2016
- epidural hematoma lumbar spine wound
- Replies: 2
- Forum: Neurology/Neurosurgery
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...
- MMillercpc
- Thread
- Oct 19, 2010
- anterior decompression discectomy lumbar
- Replies: 0
- Forum: General Surgery
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...
- MMillercpc
- Thread
- Oct 18, 2010
- 22899 disc lumbar replacement unlisted
- Replies: 2
- Forum: Orthopaedics
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
- May 17, 2009
- 20936 allograft autograft laminectomy lumbar
- Replies: 4
- Forum: Orthopaedics

Tags