jdemar
Guest
Can someone explain the difference between 63005 and 63267, which would I use for the diagnosis of L3-L4 large facet cyst causing spinal stenosis?
.....the Taylor retractor was placed lateral to the L3-L4 facet. Starting at the interval between the L3-L4 lamina, the ligamentum flavum was removed in piecemeal fashion using a 3MM Kerrison rongeur. The laminotomies and a hemilaminectomy of L3 were done. There was a large facet cyst that was pushing the thecal sac and it was removed the Kerrison rongeurs. We extended the hemilaminectomy above the facet cyst to get to normal dura above and below the facet cyst. We then checked the foramen at 3-4 and 4-5 with a Woodson. There was no neurologic compression, no ventral thecal sac compression, no disk herniation. Any epidural bleeding indentified and coagulated with bipolar cautery. Once the decompresssion was done, the dura was nice and free. The wound was irrigated and dired prior to closure........
Thank you in advance for your assistance.
.....the Taylor retractor was placed lateral to the L3-L4 facet. Starting at the interval between the L3-L4 lamina, the ligamentum flavum was removed in piecemeal fashion using a 3MM Kerrison rongeur. The laminotomies and a hemilaminectomy of L3 were done. There was a large facet cyst that was pushing the thecal sac and it was removed the Kerrison rongeurs. We extended the hemilaminectomy above the facet cyst to get to normal dura above and below the facet cyst. We then checked the foramen at 3-4 and 4-5 with a Woodson. There was no neurologic compression, no ventral thecal sac compression, no disk herniation. Any epidural bleeding indentified and coagulated with bipolar cautery. Once the decompresssion was done, the dura was nice and free. The wound was irrigated and dired prior to closure........
Thank you in advance for your assistance.