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Orthopedic Coding Alert

You Be the Coder:
New, Recurrent HNP Mean Multiple Codes

Question:  Our physician performed surgery due to recurrent HNP at L5-S1 and a new HNP at L4-L5. How should we code this? California Subscriber Answer: You’ll report treatment of the recurrent HNP (herniated nucleus pulposus) at L5-S1 with 63042 (Laminotomy [hemilaminectomy], with decompression of nerve root[s], including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploraton, single interspace; lumbar). [...]