tci Outpatient Facility Coding Alert - 2013 Issue 8

Reader Question: Approach Governs The Type Of Code For Herniated Intervertebral Disc

Question: Which would be more appropriate - 63056 or 63030? Dx. Far Lateral Disk Herniation, left L5-S1. OP procedure: Far Lateral Transfacetal Diskectomy, L5-S1. What was done: Midline incision was made. Muscles stripped from lamina of L5 and S1 area. The Stryker drill was used for perform a foraminotomy with partial facetectomy extending into the facet joints and into the extra foraminal area. Under the microscope, L5 nerve was identified and this was followed laterally in and out to the foramen. There was a calcified area, which was fractured with a downgoing curette to decompress the foramen. Oklahoma Subscriber...

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