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Failed back surgery syndrome?

  1. #1
    Monmouth Ocean
    Default Failed back surgery syndrome?
    Medical Coding Books
    Took me a while to figure this one out... the doc had written "FBBS," I went a little nuts trying to figure out what that extra B meant. Come to find out she meant to say FBSS, standing for "failed back surgery syndrome." ANYWAY... is there a code for this? I used v454 for history of spinal fusion, but is there a way to indicate that this was unsuccessful?

  2. #2
    North Carolina
    Failed Back Syndrome=Post Laminectomy Syndrome (722.80) The region of the spine would change the 5th digit...cervical, thoracic, lumbar...

  3. #3
    Monmouth Ocean
    Wow! That was fast! Thank you!

  4. #4
    Default post laminectomy vs post laminectomy syndrome
    When a physician documents "post laminectomy and fusion", and doesn't further elaborate, I was told by another coder that since the pt had a laminectomy, this automatically implies the patient has "Post laminectomy Syndrome" 722xx.

    I disagree, since the physician is only stating that the pt is post surgery; Not that the surgery failed.

    (We code for the physician, not the hospital) I was coding this as v45.4 to indicate the pt is post fusion/which includes the surgery. I've always understood that PLS and FBS (failed back syndrome) means that the laminectomy/surgery failed, and that the pt has continued chronic pain...

    Please give me your thoughts on the matter,

    Last edited by ITAIRHART; 12-30-2011 at 02:27 PM. Reason: not sure if question is clear

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