Wiki spinal fusion

efuhrmann

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HELP: New doctor/new procedures; how do I code
1.Decompression L4-5, L5-S1
2. Transforaminal interbody fusion L4-5 on the right and L5-S1 on the left.
3. Biological implant placement X 2, 2 PEEK cages one in 8 mm height at L5-S1 and the second one at 10 mm height at L4-5.
4.Posterior instrumentation L5-S1.
5. Posterior lateral arthrodesis L5-S1.
6. Allograft X 1.
This is a new world for me so any guidance would be very much appreciated.
 
HELP: New doctor/new procedures; how do I code
1.Decompression L4-5, L5-S1
2. Transforaminal interbody fusion L4-5 on the right and L5-S1 on the left.
3. Biological implant placement X 2, 2 PEEK cages one in 8 mm height at L5-S1 and the second one at 10 mm height at L4-5.
4.Posterior instrumentation L5-S1.
5. Posterior lateral arthrodesis L5-S1.
6. Allograft X 1.
This is a new world for me so any guidance would be very much appreciated.

1. could be 63047+63048
2. 22630+22632
3. 22851+22851-59
4. 22840
5. 22612
6. 20930
 
Agree with the coding, but if the graft is structural it would be 20931, if morselized 20930.
 
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