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Transforaminal Endoscopic Discectomy

  1. #1
    Question Transforaminal Endoscopic Discectomy
    Medical Coding Books
    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!

  2. #2
    North Carolina
    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.

  3. #3
    Thank you so much! This information was very helpful!

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