Results 1 to 4 of 4

Thread: Removal of spinal stimulator generator - COSC roundabout

  1. #1
    Join Date
    Apr 2007
    Location
    Memphis
    Posts
    185

    Default Removal of spinal stimulator generator - COSC roundabout

    Promo: Code Books
    I HAVE 721.3, 724.2 AND 63688 - What am I missing?


    POSTOPERATIVE DIAGNOSIS: 1. Low back pain secondary to lumbar spondylosis and spinal stimulator generator.
    PROCEDURE: 1. Removal of spinal stimulator generator.

    ANESTHESIA: Intravenous sedation.
    INDICATIONS FOR PROCEDURE: The patient is an 85-year-old female status post L2-3 laminectomy and fusion back in 2007 with implantable bone stimulator. The patient states her radicular pain has resolved, however she has persistent back pain and feels that the generator from the stimulator is quite irritating to her back pain and desires it to be removed. Risks and complications were discussed at great length. The patient clearly understands and desires to proceed as outlined above.
    DESCRIPTION OF PROCEDURE: The patient was brought into the holding area and was given 2 grams of Ancef intravenously for antimicrobial prophylaxis as well as the application of sequential compression devices for the prevention of deep vein thrombosis. The patient was then taken to the operating room and was placed in the left lateral decubitus position, and after an adequate level of intravenous sedation, the lumbar region was then shaved, prepped, and draped in usual sterile fashion. Skin was infiltrated with 0.25% Marcaine with epinephrine.
    Incision was made over the generator in the right upper lumbar region with a #10 blade through the skin and subcutaneous tissues using Bovie cautery. The capsule surrounding the generator was opened, and then using blunt and sharp dissection the generator was mobilized and then pulled out of the wound and disconnected from its leads.
    Hemostasis was achieved with bipolar cautery. The wound was copiously irrigated with antibiotic solution. The wound was then closed in a physiologic fashion with 2-0 Vicryl simple interrupted stitches for the subcutaneous tissue and stainless steel staples for the skin. Sterile dressings were applied.
    The patient tolerated the procedure well without complications. All counts were correct.

  2. #2

    Default Pdx- v53.02; sdx 996.75

    Quote Originally Posted by martn View Post
    I HAVE 721.3, 724.2 AND 63688 - What am I missing?


    POSTOPERATIVE DIAGNOSIS: 1. Low back pain secondary to lumbar spondylosis and spinal stimulator generator.
    PROCEDURE: 1. Removal of spinal stimulator generator.

    ANESTHESIA: Intravenous sedation.
    INDICATIONS FOR PROCEDURE: The patient is an 85-year-old female status post L2-3 laminectomy and fusion back in 2007 with implantable bone stimulator. The patient states her radicular pain has resolved, however she has persistent back pain and feels that the generator from the stimulator is quite irritating to her back pain and desires it to be removed. Risks and complications were discussed at great length. The patient clearly understands and desires to proceed as outlined above.
    DESCRIPTION OF PROCEDURE: The patient was brought into the holding area and was given 2 grams of Ancef intravenously for antimicrobial prophylaxis as well as the application of sequential compression devices for the prevention of deep vein thrombosis. The patient was then taken to the operating room and was placed in the left lateral decubitus position, and after an adequate level of intravenous sedation, the lumbar region was then shaved, prepped, and draped in usual sterile fashion. Skin was infiltrated with 0.25% Marcaine with epinephrine.
    Incision was made over the generator in the right upper lumbar region with a #10 blade through the skin and subcutaneous tissues using Bovie cautery. The capsule surrounding the generator was opened, and then using blunt and sharp dissection the generator was mobilized and then pulled out of the wound and disconnected from its leads.
    Hemostasis was achieved with bipolar cautery. The wound was copiously irrigated with antibiotic solution. The wound was then closed in a physiologic fashion with 2-0 Vicryl simple interrupted stitches for the subcutaneous tissue and stainless steel staples for the skin. Sterile dressings were applied.
    The patient tolerated the procedure well without complications. All counts were correct.
    ------------------------------------------------------------------------
    I ll assign PDX - V53.02 + SDX - 996.75 & ADX -724.2; 721.3

    Indication (R/V) - is Removal of neuropacemaker(Neurostimulator)
    Pain due to “device”= complications / due to device (neuropacemaker)
    Last edited by msrd_081002; 02-15-2011 at 09:53 AM.
    Thanks

  3. #3
    Join Date
    Apr 2007
    Location
    Memphis
    Posts
    185

    Default

    Thanks for your reply! V53.02 and 996.75 does not work. I am still missing a code!

  4. #4
    Join Date
    Apr 2007
    Location
    Memphis
    Posts
    185

    Default

    V53.09 was correct code! Thanks again!

Similar Threads

  1. Removal of spinal cord stimulator
    By pajohnson in forum Anesthesia
    Replies: 4
    Last Post: 08-08-2014, 10:48 AM
  2. Removal Spinal Cord Stimulator Leads
    By SCCL5558 in forum Anesthesia
    Replies: 4
    Last Post: 03-15-2013, 05:52 PM
  3. Removal Stimulator Generator/receiver
    By LORIN830 in forum Anesthesia
    Replies: 6
    Last Post: 02-15-2012, 11:38 PM
  4. spinal cord stimulator removal coding sequence
    By paula f3 in forum Diagnosis Coding
    Replies: 0
    Last Post: 04-22-2011, 12:10 PM
  5. Removal spinal cord stimulator
    By AWHITACRE in forum Outpatient Facilities
    Replies: 3
    Last Post: 06-24-2010, 12:59 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.