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Spine procedure

  1. #1
    North Carolina
    Default Spine procedure
    Medical Coding Books
    This is a very lengthy op note so I'm only going to provide the "meat" and hope it's enough.

    Extensive right L4-5 Foraminotomy and removal of disk herniation and decompression of L5 nerve root. (63030)

    Bilateral L5-S1 facetectomies, diskectomies, removal of abnormal pars defects and decompression of the L5 ans S1 nerve roots. (63012)
    **A complete facetectomy was performed**

    Posterior lumbar interbody fusion bilaterally, L5-S1 (22630)

    Pedical screw stabilization, L4 to S1, with Dynesys cable system. (22842)

    Peek implants and copious bone graft (22851 and 20930)

    Any thought? I have no issues with the modifiers...I know what goes where.

  2. #2
    Albany, New York
    These are not one of my favorites.......

    I ran this through my system a few times. What you have looks okay (without knowing the source of the bone graft and assuming only one interspace for 22851).
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    North Carolina
    Your assumption is correct. Thanks...TGIF!!

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