Wiki Revision spine surgery - 63030 or 63047??

[kwinters]

Hi all! I hope there's some expert spinal coders out there that can assist me with this surgical case. (see attached report). Please tell me if I used the correct codes as I'm a little unsure if 63030 should be used or 63047.

Here's what I got:

22612.22 L3.-4
63030.22 L3-4
22830.59
22842 L3-5
22852.59
22614 L4-5
22853 L3-4
22853.59 L4-5
63035 L4-5

DX:

M51.26,M43.16,M54.16,M48.061,L85.9

TIA!!!

Kelly

 

[jrclark1987@yahoo.com]

Listed by procedure # in the op note. Hope this helps. Provider needs education for proper documentation.
1,2,3,4 inclusive
5 not appropriate with revision at same level(s)
6 not appropriate with insertion at same/overlapping levels
7. 63047,63048
8 not enough dictated for 63042 e.g. annulotomy, removal of herniation
9. inclusive
10. 22612,22614 barely. would like to see more e.g. decortication
11. not dictated no mention of interbody device
12. 22842
13. inclusive
14,15,17: 20930
16:20936
18 & 19 inclusive
20- not enough dictated for mod 22.