icd 10 code for c1 laminectomy

Full Answer

How to code laminectomy?

laminectomy (L3-4 to L5-S1) with foraminotomies History: Central and lateral recess ste-nosis from L3-4 to L5-S1 ICD.9/10: 724.02/ M48.06 Spinal Stenosis, lumbar region without neurogenic, Claudication Suggested coding: 63047 has expired. Repeat facetectomy and Laminectomy, facetectomy and foraminotomy (unilateral or

What does C1 on Medicare card mean?

Medicare Suffixes Here’s what the letters behind the Medicare number mean: *A = retired worker B = wife of retired worker B1 = husband of retired worker B6 = divorced wife B9 = divorced second wife C = child of retired or deceased worker; numbers after C denote order of children claiming benefit D = widow D1 = widower

What is the CPT code for cervical laminectomy?

You would use the CPT that is most appropriate for the surgery that was performed. 63047 is most appropriate being that he did a laminectomy, foraminotomy for decompression. (it's ok that he didn't do facetectomies) Using 63017 implies that only a laminectomy was performed which would be incorrect because the physician did foraminotomy.

What is the CPT code for anterior cervical fusion?

Anterior Cervical Discectomy and Fusion (ACDF) 22551. +22552 for additional level. 22551 - 25.00. +22552 - 6.50. 22551 - 49.87. +22552 - 11.68. Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (list ...

What is the ICD-10 code for status post back surgery?

Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.

What is diagnosis code Z98 89?

Other specified postprocedural statesICD-10 code Z98. 89 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Is laminectomy the same as decompression?

Laminectomy (removal of lamina bone) and diskectomy (removing damaged disk tissue) are both types of spinal decompression surgery. Your provider may perform a diskectomy or other techniques (such as joining two vertebrae, called spinal fusion) during a laminectomy procedure.

When do you use Z98 1?

If the spinal fusion was done during surgery then use the Z98. 1 code. If the patient has a natural fusion of the spine or (ankylosing spondylitis) which causes the spine to fuse then use the M43.

What is the ICD-10 code for laminectomy?

Postlaminectomy syndrome, not elsewhere classified M96. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M96. 1 became effective on October 1, 2021.

What is the ICD-10 code for cervical laminectomy?

Fusion of spine, cervical region The 2022 edition of ICD-10-CM M43. 22 became effective on October 1, 2021.

What is laminectomy spinal decompression?

It usually involves removing a small piece of the back part (lamina) of the small bones of the spine (vertebrae). Laminectomy enlarges the spinal canal to relieve pressure on the spinal cord or nerves. Laminectomy is often done as part of a decompression surgery.

What does decompressive laminectomy mean?

Decompressive lumbar laminectomy is a surgical procedure used to treat spinal stenosis, which occurs when spinal nerves are pinched by narrowing at the sides of the spinal column. Low back symptoms may include intense pain as well as numbness and/or weakness in one or both leg.

What is the difference between laminotomy and laminectomy?

The procedures In a laminotomy, your doctor makes a hole in the lamina and removes a small piece of the bone. In a laminectomy, your doctor removes most of the bone.

When do you code Z47 89?

Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47. 1, Aftercare following joint replacement surgery.

Can Z47 1 be a primary diagnosis code?

For example, if a patient with severe degenerative osteoarthritis of the hip, underwent hip replacement and the current encounter/admission is for rehabilitation, report code Z47. 1, Aftercare following joint replacement surgery, as the first-listed or principal diagnosis.

Is a laminectomy the same as a fusion?

A laminectomy will include a fusion component if a patient has experienced slippage of the vertebrae or has a curvature of the spine. The surgeon will fuse the affected vertebrae using a bone graft.

What is the ICD 10 code for Status post cervical fusion?

ICD-10 code M43. 22 for Fusion of spine, cervical region is a medical classification as listed by WHO under the range - Dorsopathies .

What does other specified Postprocedural States mean?

890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is laminoplasty for cervical stenosis?

Laminoplasty (laminaplasty) may be indicated in patients with myelopathy and multiple-level cervical spondylosis, such as in congenital cervical stenosis. When cervical spinal stenosis is severe, various symptoms may develop which include pain, weakness in arms and/or legs and unsteadiness in the gait (myelopathy).

What is lumbar spinal stenosis?

Pietrantonio and colleagues (2019) noted that lumbar spinal stenosis (LSS) is the most common spinal disease in the geriatric population , and is characterized by a compression of the lumbo-sacral neural roots from a narrowing of the lumbar spinal canal. LSS can result in symptomatic compression of the neural elements, requiring surgical treatment if conservative management fails. Different surgical techniques with or without fusion are current therapeutic options. These investigators reported the long-term clinical outcomes of patients who underwent bilateral laminotomy compared with total laminectomy for LSS. They retrospectively reviewed all the patients treated surgically by the senior author for LSS with total laminectomy and bilateral laminotomy with a minimum of 10 years of follow-up. Patients were divided into 2 treatment groups (total laminectomy, group 1; and bilateral laminotomy, group 2) according to the type of surgical decompression. Clinical outcomes measures included the VAS, the 36-Item Short-Form Health Survey (SF-36) scores, and the ODI. In addition, surgical parameters, re-operation rate, and complications were evaluated in both groups. A total of 214 patients met the inclusion and exclusion criteria (105 and 109 patients in groups 1 and 2, respectively). The mean age at surgery was 69.5 years (range of 58 to 77). Comparing pre- and post-operative values, both groups showed improvement in ODI and SF-36 scores; at final follow-up, a slightly better improvement was noted in the laminotomy group (mean ODI value of22.8, mean SF-36 value of 70.2), considering the worse pre-operative scores in this group (mean ODI value of 70, mean SF-36 value of 38.4) with respect to the laminectomy group (mean ODI of 68.7 versus mean SF-36 value of 36.3), but there were no statistically significant differences between the 2 groups. Significantly, in group 2 there was a lower incidence of re-operations (15.2 % versus 3.7 %, p = 0.0075). The authors concluded that bilateral laminotomy allowed adequate and safe decompression of the spinal canal in patients with LSS; this technique ensured a significant improvement in patients' symptoms, disability, and QOL. Clinical outcomes were similar in both groups, but a lower incidence of complications and iatrogenic instability has been shown in the long-term in the bilateral laminotomy group.

What is a Tarlov cyst?

Seo and colleagues (2014) noted that Tarlov cysts (TCs – also known as perineurial cysts and sacral meningeal cysts) are lesions of the nerve root that are often observed in the sacral area . There is debate regarding whether symptomatic TCs should be treated surgically. These researchers presented the findings of 3 patients with symptomatic TCs who were treated surgically, and introduced sacral re-capping laminectomy. Patients complained of low back pain (LBP) and hypesthesia on lower extremities (LEs). These investigators operated with sacral re-capping technique for all 3 patients. The outcome measure was baseline visual analog scale (VAS) score and post-operative follow-up magnetic resonance images (MRIs). All patients were completely relieved of symptoms following operation. The authors concluded that although not sufficient to address controversies, the findings of this small case series introduced successful use of a particular surgical technique to treat sacral TC, with resolution of most symptoms and no sequelae.

Can you use a maxilla fixation plate for laminoplasty?

Humadi and associates (2017) noted that in the late 1990s, spinal surgeons experimented by using maxilla-facial fixation plates as an alternative to sutures, anchors, and local spinous process autografts to provide a more rigid and lasting fixation for laminoplasty. This eventually led to the advent of laminoplasty mini-plates, which are currently used. In a systematic review and meta-analysis, these investigators compared laminoplasty techniques with plate and without plate with regard to functional outcome results. Qualitative and quantitative analyses were performed to evaluate the currently available studies in an attempt to justify the use of a plate in laminoplasty. The principal finding of this study was that there was no statistically significant difference in clinical outcome between the 2 different techniques of laminoplasty. The authors concluded that there is insufficient evidence in the literature to support one technique over the other, and hence, there is no evidence to support change in practice (using or not using the plate in laminoplasty); a RCT will give a better comparison between the 2 groups.

Is Fusion required for a laminectomy?

Heron stated that, "Fusion is not routinely required in patients undergoing repeat laminectomy and discectomy for recurrent disc herniation.

Does Aetna require vertebral corpectomy?

Aetna considers vertebral corpectomy (removal of half. Footnotes. * or more of vertebral body, not mere removal of osteophytes and minor decompression ) medically necessary in the treatment of one of the following: For tumors involving one or more vertebrae, or. Greater than 50 % compression fracture of vertebrae, or.

Is lumbar fusion a degenerative indication?

Yavin and colleagues (2017) noted that due to uncertain evidence, lumbar fusion for degenerative indications is associated with the greatest measured practice variation of any surgical procedure. These investigators summarized the current evidence on the comparative safety and efficacy of lumbar fusion, decompression-alone, or non-operative care for degenerative indications. They carried out a systematic review using PubMed, Medline, Embase, and the Cochrane Central Register of Controlled Trials (up to June 30, 2016). Comparative studies reporting validated measures of safety or efficacy were included. Treatment effects were calculated through DerSimonian and Laird random effects models. The literature search yielded 65 studies (19 RCTs, 16 prospective cohort studies, 15 retrospective cohort studies, and 15 registries) enrolling a total of 302,620 patients. Disability, pain, and patient satisfaction following fusion, decompression-alone, or non-operative care were dependent on surgical indications and study methodology. Relative to decompression-alone, the risk of re-operation following fusion was increased for spinal stenosis (relative risk [RR] 1.17, 95 % CI: 1.06 to 1.28) and decreased for spondylolisthesis (RR 0.75, 95 % CI: 0.68 to 0.83). Among patients with spinal stenosis, complications were more frequent following fusion (RR 1.87, 95 % CI: 1.18 to 2.96). Mortality was not significantly associated with any treatment modality. The authors concluded that positive clinical change was greatest in patients undergoing fusion for spondylolisthesis while complications and the risk of re-operation limited the benefit of fusion for spinal stenosis. The relative safety and efficacy of fusion for chronic LBP suggested careful patient selection is needed.

Policy

Aetna considers Chiari malformation decompression surgery medically necessary for Chiari malformation type II, III and IV.

Background

Chiari malformations (CMs) types I to IV are a heterogeneous group of disorders that refer to a spectrum of congenital hind-brain abnormalities affecting the structural relationships between the cerebellum, brain-stem, the upper cervical cord, and the bony cranial base. The 4 types of CMs are classified as follows: (Pakzaban, 2017; Khoury, 2018)

The above policy is based on the following references

Chai Z, Xue X, Fan H, et al. Efficacy of posterior fossa decompression with duraplasty for patients with Chiari malformation type I: A systematic review and meta-analysis. World Neurosurg. 2018;113:357-365.