Diagnosis: Recurrent lumbar disc herniation
Procedure: Left L4-5 microdiscectomy for disc recurrence. Extensive lysis of scar.
In the body of the op note the physician states that he did not do any bone work as the decompression was already satisfactory.
Normally, I would code this as 63042 but because of the above statement I am a little puzzled. I would like an opinion as to what you guys think. I was thinking maybe coding as 63042-52.
Thanks in advance
Mary
Procedure: Left L4-5 microdiscectomy for disc recurrence. Extensive lysis of scar.
In the body of the op note the physician states that he did not do any bone work as the decompression was already satisfactory.
Normally, I would code this as 63042 but because of the above statement I am a little puzzled. I would like an opinion as to what you guys think. I was thinking maybe coding as 63042-52.
Thanks in advance
Mary