AHA Coding Clinic® for ICD-9 - 2007 Issue 1; Ask the Editor

Dynesys Spinal System

The patient had severe lumbar spinal stenosis due to a herniated disk at L4 with radiculopathy. The patient underwent total laminectomy, excision of herniated disk, and Dynesys Dynamic Pedicle Screw Stabilization of L3-L4, L5-S1. What is the appropriate procedure code assignment for the Dynesys Spinal System also referred to as Dynesys Dynamic Pedicle Screw Stabilization? There is some controversy as to whether this constitutes a true spinal fusion. The surgeon stated that a spinal fusion is not carried out and this is a nonfusion posterior spinal instrumentation and stabilization procedure. How should this case be coded? ...

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