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Discectomy with Pediculotomy

Nicole Posted Thu 14th of June, 2018 20:10:53 PM
Patient had the following procedure: 1.) T8-T12 Posterior segment instrumentation and fusion (22610/22614 x4) 2.) T8-T12 laminectomy, foraminotomy, facetectomy (63046/63048 x4) 3.) T10-T11 left sided costotransversectomy (21610) 4.) T10-T11 left sided discectomy along w/ pediculotomy. Diagnosis Codes: Thoracic spinal stenosis and Herniated disc at T10-T11. My question is in regards to the T10-T11 left sided discectomy along w/ pediculotomy. I read in a previous post on this site that the pediculotomy could be billed using 22206 or 22212 (is that still accurate and if so, I am leaning towards the 22212)? The surgeon did do (at the T10-T11 level) an aggressive side decompression and the disc appeared to be calcified. Osteotome was used to incise the disk and the disc material was removed. The Kerrison was then used to carry the disc as close to the midline as feasible for removal. Would these codes be correct: 22610 / 22614 x4 / 63046 / 63048 x3 / 21610 / 22212 (if this code is correct, it cannot be billed at the same level as the laminectomy correct)?
Nicole Posted Sun 17th of June, 2018 21:40:34 PM
Anymore information I could provide to help with this question?
SuperCoder Answered Mon 18th of June, 2018 06:47:02 AM

Hi,

Based on provided documentation, your codes seem correct. For decompression of thoracic spine, you should report code 63046 and 63048.

For discectomy of thoracic spine, you should choose your code from following codes (based on the documentation of medical record) – 22222, 22532, 22556, 63077, 63078.

Please feel free to write if you have any question.

Thanks

Nicole Posted Mon 18th of June, 2018 08:36:02 AM
This procedure was done posterior approach. So would these following codes be correct: 22610/63046 (T8), 22614/63048 (T9), 22614/21610/22212-59 (T10), 22614/22216 (T11) and 22614/63048 (T12).
SuperCoder Answered Tue 19th of June, 2018 02:18:11 AM

Yes, these codes are appropriate for posterior approach.

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