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the spinal canal and create more space for the spinal cord and spinal nerves. So even if the surgeon uses the word laminotomy, he is still decompressing the nerve preventing radiculopathy. Use CPT 63045 for cervical or CPT 63047 for lumbar, with additional levels billed with add-on Code +63048 unilateral or bilateral.
The surgeon also performed central decompression of L3-L5 due to impingement of the spinal cord in this area. In this case, an ICD-10-PCS code would be assigned for the lumbar spinal nerve release/decompression as well as one for the lumbar spinal cord release/decompression at the same level in addition to the spinal fusion codes.
Wedge compression fracture of third lumbar vertebra, initial encounter for closed fracture. S32. 030A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Fracture of lumbar vertebra ICD-10-CM S32. 009A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
In ICD-10-CM, codes for compression and pathologic fractures of the spine (not due to trauma) are located in Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue. Category M48. 5-, Collapsed vertebra, not elsewhere classifiable is used for vertebrae fracture where no cause is listed.
If you have no other documentation about the fracture (e.g. whether this is a pathological or a traumatic fracture), then this would code to category M48. 5 - Compression fracture of vertebra NOS, so I would use M48. 56XA for the lumbar site.
ICD-10-CM Code for Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture S32. 010A.
In a compression fracture, the vertebral body collapses. The most common type of compression fracture is a wedge fracture, in which the front of the vertebral body collapses but the back does not, meaning that the bone assumes a wedge shape.
Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion. S32. 040K 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 S32.
Although all compression fractures have an underlying pathology, the term pathologic vertebral compression fracture (pVCF) is traditionally reserved for fractures that result from primary or metastatic spine tumors.
A compression fracture is a type of broken bone that can cause your vertebrae to collapse, making them shorter. This often happens to the front of the vertebrae but not the back, causing you to stoop forward over time.
In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
Wedge compression fracture of second lumbar vertebra, initial encounter for closed fracture. S32. 020A 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 S32.
Vertebral Fracture Coding in ICD-10-CMM80. 08XA (Age-related osteoporosis with current pathological fracture, vertebra[e], initial encounter for fracture) can be used to specify an osteoporotic vertebral fracture that occurs as a result of aging.M80.