Percutaneous discectomy for disc decompression is accomplished by the physical removal of disc material rather than its ablation. Originally percutaneous discectomy was performed manually, using cutting forceps to remove nuclear material from within the disc annulus. This technique has been replaced with automated devices that involve placement of a probe within the intervertebral disc and aspiration of disc material using a suction cutting device. The Stryker DeKompressor Percutaneous Discectomy Probe (Stryker) and the Nucleotome (Clarus Medical) are examples of percutaneous discectomy devices that received clearance from the U.S. Food and Drug Administration (FDA) through the 510(k) process. Both have the same labeled intended use for use in aspiration of disc material during percutaneous discectomies in the lumbar, thoracic and cervical regions of the spine.
PLDD is an effective treatment for a herniated disc with or without sciatica in the lumbar, cervical or thoracic spine. It is not effective for pain or weakness caused by bone spurs, arthritis, or bony spinal stenosis.
CPT code 62287 would be the correct code
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