Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all


Steve Posted Fri 20th of March, 2015 08:11:36 AM

Indications for Procedure: The patient is a 69 y.o. female with a history of low back pain radiating into the right hip and leg with occasional radiation into the left leg. Imaging studies revealed L3/4 central canal calcific stenosis. Of note, she had prior spine surgery with Dr. Mcdonald years ago - there is no definitive laminectomy site on CT but the patient has a low back incision roughly centered around L5/S1. The risks, benefits, and indications for surgery were described in detail to the patient and she consented for the proposed surgery.

SuperCoder Answered Fri 20th of March, 2015 09:56:51 AM

The above information gives us the indications for the procedure, however, it does not indicates whether surgery was performed or not.

Also, AAE does not provide coding for operative reports and chart notes.

SuperCoder offers SuperCoding on Demand (SOD) ( for coding of an operative report or chart note and you can contact (866)228-9252 or e-mail for more information.

Related Topics