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Corpectomy T11 - posterior approach

  1. #1
    Location
    Greater Pittsburgh
    Posts
    390
    Default Corpectomy T11 - posterior approach
    Medical Coding Books
    Help, I cannot find CPT....any suggestions other than unlisted. Thank you in advance.
    jdemar, CPC, CMA

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    I have a couple of questions...Was the corpectomy performed for an intraspinal/intrinsic lesion? Decompression only? Partial? Complete? If the corpectomy was for a intrinsic lesion (partial) ...maybe 22112. Keep in mind that 22112 is without decompression. If this doesn't fit, then I would be inclined to recommend an unlisted code since the 63xxx series are for anterior approach.

  3. #3
    Location
    Greater Pittsburgh
    Posts
    390
    Smile
    No, the corpectomy was not for intrinsic bony lesion, w/o decompression. It was 'partial corpectomy T11 with decompression of spinal cord.'


    Patient DX: T10-T11 herniated nucleus pulposis with cord compression and lower extremity paraparesis.

    OP PROC[
    1. Laminectomy T10-T11.
    2. Partial corpectomy T11 with decompression of spinal cord.
    3. Bilateral traspedicular diskectomy T10-T11 w use of op room microscp
    4. Posterior spinal fusion T9-T12 w pedicle scre instrumentation & allograft.

    I do have all other codes.....thanks again!
    jdemar, CPC, CMA

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Since you stated posterior earlier, I can't see anything else other than an unlisted.

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