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Laminectomy fusion and Cage

Bonnie Posted Tue 05th of August, 2014 15:15:53 PM

Couly you please tell me how would you code the following for physician billing:
L5-S1 laminectomy and foraminotomy; right lateral L5-S1 discectomy; L5-S1 fusion with PEEK cage placed between bodies of L5 and S1 on right side; L5-S1 pedicle screw fixation and L5-S1 posterolateral fusion using allograft and autograft.
Thanks so much

SuperCoder Answered Wed 06th of August, 2014 13:50:07 PM

Greetings for the day!

With limited documentation provided in your query above; and assuming surgical approach to be posterior, we can code CPT 63030 for L5-S1 discectomy along with laminectomy and foraminotomy.
Code 22612 for L5-S1 fusion (posterior technique) with add-on code +22840 for pedicle screw fixation (primary code- 22612). Issue add-on code +22851 for PEEK cage placement (primary code- 22612). Also issue add-on CPT code +20930 for allograft placement (assuming allograft to be morcelized)(primary code- 22612) and issue add-on code +20936 for autograft placement (assuming obtained via same incision) (primary code- 22612).

To get more specific codes on your query, you may want to avail our Supercoding-On Demand services by submitting entire operative record with us.

Thanks.

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