icd 10 code for l4-l5 fusion

What is the ICD 10 code for lumbar fusion?

Oct 01, 2021 · Fusion of spine, lumbar region. M43.26 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 M43.26 became effective on October 1, 2021.

What is the CPT code for L4 L5 fusion?

Two codes are also assigned for the posterior spinal fusion, 0SG0071 (L4-L5) and 0SG3071 (L5-S1). Codes 0SB20ZZ and 0SB40ZZ are also assigned for the discectomy performed at two different levels of the spine. Lastly, code 0QB20ZZ is assigned for the harvesting of the right iliac crest bone graft. References. American Hospital Association. AHA Coding Clinic for ICD-10-CM …

What is the ICD 10 code for pseudarthrosis after fusion?

May 06, 2019 · Subluxation of L4/L5 lumbar vertebra, initial encounter S33.140D Subluxation of L4/L5 lumbar vertebra, subsequent encounter S33.140S Subluxation of L4/L5 lumbar vertebra, sequela S33.141A Dislocation of L4/L5 lumbar vertebra, initial encounter

What is the ICD 10 code for ankylosis with fusion?

Sep 13, 2019 · But remember in ICD-10-PCS, two adjacent vertebrae separated by an interspace is a vertebral joint. If a patient presents and undergoes a spinal fusion of L4-S1, this would be counted as two vertebral joints (L4 to L5 and L5 to S1), and reported with two ICD-10-PCS codes to include both the lumbar and sacral region of the vertebra.

What is the ICD 10 code for status post lumbar fusion?

ICD-10 code M43. 26 for Fusion of spine, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .

What is the ICD 10 code for aftercare following spinal fusion?

Z48.811ICD-10-CM Code for Encounter for surgical aftercare following surgery on the nervous system Z48. 811.

What is a L4-L5 Fusion?

Two vertebrae need to be fused to stop the motion at one segment. For example, an L4-L5 fusion is a one-level spinal fusion. A two-level fusion joins three vertebrae together and so on.

What is the CPT code for lumbar fusion?

A: You should report CPT code 22612 for the spinal fusion.Sep 28, 2018

What is the ICD-10 code for aftercare following orthopedic surgery?

ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.

Is a kyphoplasty a fusion?

The goal of the surgery is to fuse and repair the fracture, eliminate back pain, and restore posture and ease of movement. The most common surgical procedures for spinal compression fractures are lumbar fusion and vertebroplasty/kyphoplasty. In a lumbar fusion, the vertebrae are connected with rods.

Can you fuse L4 and L5?

Two vertebral segments need to be fused together to stop the motion at one segment, so that an L4-L5 (lumbar segment 4 and lumbar segment 5) spinal fusion is actually a one-level spinal fusion. An L4-L5, L5-S1 fusion is a 2-level fusion.

Are L4-L5 fusions successful?

Results: The % slip significantly improved from an average of 17.0% before surgery to 9.7% at the last followup. Lordosis at L4/L5 averaged 3.6° before surgery, 8.2° after surgery and 6.9° at the last followup.

What is fusion surgery?

Spinal fusion is surgery to permanently connect two or more vertebrae in your spine, eliminating motion between them. Spinal fusion involves techniques designed to mimic the normal healing process of broken bones.

How do you code a spinal fusion?

Fusion is the merging of adjacent parts; therefore, coding a single fusion segment (22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)) involves two adjacent vertebral segments (L4 and L5).Dec 9, 2021

What is the difference between CPT code 22551 and 22554?

Use code 22551 for the 1st level of fusion and discectomy performed and add-on code 22552 for subsequent levels. Codes 63075 and 22554 are still valid for use in cases where only those individual procedures are performed and they are not combined.Apr 18, 2011

What is the difference between CPT code 22630 and 22633?

Code 22630 describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).Jun 1, 2016

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim lacking the necessary information to process that claim

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Lumbar Spinal Fusion L37848.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What are the two regions of the vertebrae that are fused together?

This is because the fusion includes two regions within the vertebrae (lumbar and lumbosacral). As above, this is only two vertebral joints being fused together but of two different regions (lumbar and lumbosacral).

Is a lumbar fusion counted as one level?

When the surgeon documents that a fusion consisted of only two vertebrae and they are of the same level (such as lumbar) then this is counted as only one level. However, in the same procedure if the surgeon also performs a fusion of another level (such as sacrum), this part of the fusion would also need to be reported.