Spinal Count

ccivy

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I am coding a spinal surgery and I am having difficulties determining the count. I know this isn't the hardest question, but do you start at the very first segment and count it as 1?
In a count from T4-L4 how many segments are there?
Do you start count from T5, then T6,T7,T8,T9 and so on?
Or do you start with T4, then T5,T6,T7 AND SO ON?
Thank you for your help.
 
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