AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Decompressive Laminectomy/Foraminotomy and Lumbar Discectomy

The patient presents for surgery due to lumbar disc herniation, foraminal stenosis and degenerative scoliosis refractory to conservative treatment. She underwent lateral microdiscectomy, L2-L3 and L3-L4, using intraoperative fluoroscopy. During surgery, disc material displacing the L2-L3 and L3-L4 nerve roots was excised. Foraminotomy was then accomplished by resecting portions of the lamina to decompress the region. Should the decompressive foraminotomy/laminectomy be coded along with the discectomy?   ...

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