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Excision C-2 schwannoma by craniectomy/laminectomy

Linh Posted Wed 13th of January, 2016 12:55:00 PM

How would you code exc of a C-2 nerve schwannoma by suboccipital craniectomy with C1 and C2 laminectomy, duraplasty with fat graft from the abdomen, and lumbar drain? The tumor is intradural and operating microscope was used. After suboccipital craniectomy and laminectomy, the C-2 nerve was cut and ligated distal to the tumor. The dural was opened and the arachnoid was opened. Arachnoid dissection was carried out to reveal the capsule of the tumor and tumor was completely removed. Dural was repaired w/ fat graft from abdomen & duraseal. A mesh with screws were placed at the craniectomy site. I'm thinking 63280,20926,69990,and 62272. I didn't use the craniectomy 61518 b/c I thought this was nerve tumor not brain tumor. Not sure what to do w/ the craniectomy. Thought this might be included as the approach but maybe code for the cranioplasty 62140.? Please provide explanations for your codes. Thanks for the help!

SuperCoder Answered Sat 16th of January, 2016 01:19:42 AM

Hi,

Appropriate code would be-
61343 Craniectomy, sub occipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft

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