Wiki Transforaminal Endoscopic Discectomy

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faithvo

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Hello All!

I code for an ASC and have been searching all over to come up with the correct coding of a "Transforaminal Endoscopic Discectomy" of the Lumbar spine. This was performed as well as an Electrothermal Annuloplasty.

The physician insists on 63056 and 22526 however, I feel the correct code should be 63030 for the discectomy. Does anyone have any input or resources that may lead me to the proper code???

Thanks in advance!
 
Assuming the discectomy was performed endoscopically, my first instinct was 63030. 63030 includes the neuroendoscopic approach. As for the electrothermal annuloplasty...22526. 63056 could be reported when a far lateral herniated lumbar disc requires an alternative approach through the foramina but there is no mention of an endoscopic approach for this method. Soley based on your question, 63030/22526. Keep in mind that CMS does not have a fee schedule for 22526.
 
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