Bonnie Posted Tue 05th of August, 2014 15:19:16 PM
Hi could you please tell me how you would code the following:
L1, L2, L3, L4, L5, S1 laminectomy and bilateral foraminotomy; left L1-L2 microdiscectomy; left L4-L5 microdiscectomy; left L4-L5 allograft fusion using PEEK cage with allograft and autograft.
Thanks so much
SuperCoder Answered Wed 06th of August, 2014 14:37:52 PM
Greetings for the day!
With limited documentation provided in your query; and assuming surgical approach to be posterior, we can code CPT 63030 for L1-L2 microdiscectomy and +63035 X 4 (4 separate codes) for laminectomy and foraminotomy at L1, L2, L3, L4, L5, S1 levels. Code 22612 for L4-L5 fusion with 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). Complete laminectomy and facetectomy is not documented in above query, hence coded 63030. If laminectomy and facetectomy were performed, 63047 code will qualify.
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.
Have a great day ahead!