RHOSEL Posted Sun 23rd of June, 2019 13:15:52 PM
Patient had a spinal fusion in 2016 at L2-S1. Hardware is loosening and probable nonunion. How would you code if the surgeon performs Removal of L2-S1 screws and rods. Exploration of spinal fusion L2-S1, exploration of pseudoarthrosis. Posterior spinal fusion at L2-S1 using BMP and allograft bone. Facet bone dowel implants used at L2-L3.
SuperCoder Answered Mon 24th of June, 2019 10:58:22 AM
Thanks for your query.
As per the limited documentation available code 22849 Reinsertion of spinal fixation device, 20930 (morselized) or 20931 (structure) will be appropriate to use.
Please provide more detail about facet bone dowel implant used at L2-L3.