Results 1 to 4 of 4

Thread: Facet Cyst Rupture

  1. #1
    Join Date
    Apr 2007
    Location
    Long Island/New York
    Posts
    1,273

    Default Facet Cyst Rupture

    Promo: Code Books
    Our doc performed a L4-5 facet cyst rupture. She did this to rid the patient of this condition. My question is what dx would I use for this? Thanks.

    Also would 64475-22 (2008) be appropriate or unlisted code.

  2. #2

    Default

    Look at 62267 and 727.49.

    Richard Mann

  3. #3
    Join Date
    Apr 2007
    Posts
    1,486

    Default

    Are you suggesting to use 62267 for a comparison code. 62267 says for diagnostic purposes. That does not sound like the purpose for the procedure.

  4. #4
    Join Date
    Apr 2007
    Posts
    1,486

    Default

    https://www.aapc.com/memberarea/foru...ad.php?t=23260

    In the above thread, it suggested to use 20605/considering the facet joint is a intermidiate joint and 20605 includes aspiration

    But in this Draft of LCD, they are labeling the Facet Joints as small joints and they even reference Facet Cyst rupture with the codes for Intra-articular facet injection. I assuming from this statement that they are suggesting that you could use the facet codes to report an aspiration/rupture even though it does not include aspiration in the descriptor. This is the first time I have seen this and this might not be addressed in your LCD.

    http://www.asipp.org/Noridian/Multis...D%20082809.pdf


    Special Circumstances:
    Occasionally, intra-articular facet joint injections and/or
    aspirations are indicated to obtain synovial fluid for the
    evaluation of potential infection or abscess of the facet
    joint. Additionally, intra-articular facet joint needle
    placement can be used to rupture or aspirate a facet joint
    synovial cyst which is causing nerve root compression and
    radicular pain.
    Limitations

Similar Threads

  1. facet cyst rupture and ESI injection
    By amrcpc in forum Interventional Radiology
    Replies: 0
    Last Post: 02-24-2015, 02:36 PM
  2. Facet Cyst Rupture
    By nyyankees in forum Diagnosis Coding
    Replies: 2
    Last Post: 02-05-2014, 10:14 AM
  3. Facet Cyst aspiration and Facet Injection
    By crice@sunflower.com in forum Orthopaedics
    Replies: 1
    Last Post: 06-25-2012, 04:17 PM
  4. Suture control of ovarian cyst rupture/hemorrhage...
    By trinalankford in forum General Surgery
    Replies: 0
    Last Post: 04-15-2011, 01:01 PM
  5. Synovial Cyst rupture
    By rjburd68 in forum Interventional Radiology
    Replies: 1
    Last Post: 06-23-2010, 03:38 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.