Results 1 to 2 of 2

Neurosurgery coding help

  1. Default Neurosurgery coding help
    Medical Coding Books
    I would appreciate any help or opinions on how to code this surgery. I have included a condensed version of it. Thanks

    Diagnosis: Displacement of posterior interbody fusion cage

    Procedure: Revision of PLIF, removal/replace of interbody cage, augmentation of PLIF with allograft and autologous bone marrow aspirate, aspiration of iliac crest bone marrow through separate incision

    Incision was made in the old scar plane posteriorly. The posterior rod was removed. Dissection was carried out to capture the cage and remove it. The endplates were denuded again. A devex trial was then placed into the interspace. Aspiration of the iliac crest bone marrow was undertaken and utilized to saturate allograft which was packed densely into the cage. Devex cage was then placed into the interspace. The rod was then placed and caps were torqued at the L3,L4, L5 segments.

  2. Default
    Your diagnosis code will be loosening of implant (a complication code, 99x.xx), since there was a fusion use v45.4 also. For CPT's your doc is doing a removal of implant (look in the 20000 sec of CPT) along with, essentially, a re-fusion with bone marrow graft and posterior segmental insturmentation...on a sesame seed bun.

    See what codes you come up with and post them. The folks here are good and will let you know how you did, along with why!!

    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

Similar Threads

  1. Neurosurgery coding
    By albertha1 in forum Orthopaedics
    Replies: 1
    Last Post: 09-24-2015, 10:26 AM
  2. Coding Neurosurgery
    By xbrett82 in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 01-06-2012, 02:47 PM
  3. Neurosurgery coding help
    By mls5502 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-19-2011, 02:50 PM
  4. Neurosurgery Coding
    By WAYTOGOJEN in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-10-2008, 04:26 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?


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.