Results 1 to 2 of 2

Of X-Stop and Dural Tears.....

  1. Default Of X-Stop and Dural Tears.....
    Exam Training Packages
    The patient has had an X-Stop in for approximately 18 months, when the surgeon decided to remove the X-Stop, and instead, perform a 2 level TLIF with instrumentation. Should the X-Stop removal be coded since it had to be removed to insert the TLIF? Or no?
    Meanwhile, back at the ranch, an incidental dural tear was done and an intrathecal catheter inserted for CSF leak. Should either the tear or the catheter insertion be coded?
    I have come to y'all in the past and been WAY satisfied. Thanks in advance for this one!

  2. Default
    If he is removing the instrumentation and reinserting at the same level, I would use 22849. I would not bill for the dural tear repair, we have always been told that the procedures are valued for a certain amount of complication. Plus if the surgeon tears it, he should repair it.

Similar Threads

  1. old vs new meniscus tears
    By ammontagano in forum Orthopaedics
    Replies: 39
    Last Post: 08-04-2015, 07:54 AM
  2. dural tear
    By 574coding in forum Anesthesia
    Replies: 1
    Last Post: 03-28-2014, 12:49 AM
  3. Start and Stop then Restart and Stop
    By rlmiller in forum Anesthesia
    Replies: 0
    Last Post: 01-13-2014, 02:48 PM
  4. Dural Repair
    By jhouse in forum Orthopaedics
    Replies: 4
    Last Post: 11-16-2011, 03:52 PM
  5. Dural Repair
    By nyyankees in forum Orthopaedics
    Replies: 4
    Last Post: 10-20-2009, 01:00 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.