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drainage synovial cyst on spine?

  1. Default drainage synovial cyst on spine?
    Medical Coding Books
    Does anyone know what CPT to use for a drainage of a synovial cyst on L4-L5?

  2. Default
    I forgot to mention, this will be the only thing he is planning to do, It would be easy if he were planning on doing a facet joint or transforaminal injection, in that case it would be inclusive, but I don't know what to use if this is the only thing he is doing?

  3. #3
    look at 10060 or 10061

  4. #4
    North Carolina
    Does 62268 meet your documentation?

  5. Default
    I'm not too sure because it hasn't been done yet, he just says "drainage of synovial cyst at L4-L5" but looking at the MRI it says left sided synovial cyst measuring .9 x.6cm, this results in deformity of the dorsal left thecal sac w/moderate left subarticular zone stenosis. there is no significant foraminal stenosis? I don't know if this helps but what you think? & thanks for your input

  6. Default
    also I just saw description for CPT 62268 this is where the cyst is adhered to the spinal cord, but I don't think that's where the cyst is located

  7. #7
    North Carolina
    Below is an excerpt from a Coding Pink Sheet... See if this fits your scenario.

    Code Scenario: Aspiration of Synovial Cyst

    The following note describes aspiration of a cyst at the lumbar level of the spinal column.

    Preoperative diagnosis: Right-sided L3-4 synovial facet cysts

    Postoperative diagnosis: Same.

    Procedure: Right-sided L3-4 synovial facet cyst aspiration.

    This patient presents with a synovial cyst of the facet joint. The synovium refers to the tissue that lines this joint, and which produces lubricating fluid for the area. Yet as the facet joint degenerates or becomes arthritic, the synovium lining may begin to produce too much fluid, causing a fluid-filled cyst to form. Depending on its location and growth, a synovial cyst may compress the nerve roots, leading to radiculopathic pain and, in severe cases, limited mobility.

  8. Default
    thank you so much! , I will show this to the doctor.

  9. Default
    Actually, now he tells me he is going to do a transforaminal injection & will be doing the drainage during this injection!! These docs are going to kill me!! so now Im thinking inclusive!!

  10. #10
    North Carolina
    If in the same area, I agree with you.

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