Treatment
Lumbar fusion is the surgical joining of two vertebrae in the lumbar spine, or lower back. Your vertebrae are the bones that make up your spine (backbone). Lumbar fusion permanently stops movement between two vertebrae. It is a treatment for a variety of diseases and conditions of your spine.
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.
Spinal fusion is typically an effective treatment for fractures, deformities or instability in the spine. But study results are more mixed when the cause of the back or neck pain is unclear. In many cases, spinal fusion is no more effective than nonsurgical treatments for nonspecific back pain.
Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.
Fusion of spine, site unspecified M43. 20 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. 20 became effective on October 1, 2021.
Z48.811ICD-10-CM Code for Encounter for surgical aftercare following surgery on the nervous system Z48. 811.
The code for the posterior lumbar fusion is 0SG107J, with the device value being 7 for autologous substitute. The code for the discectomy is 0SB20ZZ, with the root operation being Excision. If the operative report documents that a discectomy is performed, the correct root operation is Excision.
Z98.1Z98. 1 - Arthrodesis status. ICD-10-CM.
1:434:24Medical Coding Tips - Coding Spinal Fusions in ICD-10-PCS - YouTubeYouTubeStart of suggested clipEnd of suggested clipDevice. However if a cage is used on the anterior column an autologous. And non attalos bone graftMoreDevice. However if a cage is used on the anterior column an autologous. And non attalos bone graft is used on the posterior column in other words a 360 degree fusion then two codes are needed.
ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
An interbody fusion cage (colloquially known as a "spine cage") is a prosthesis used in spinal fusion procedures to maintain foraminal height and decompression. They are cylindrical or square-shaped devices, and usually threaded.
Spine Disorders A Transforaminal Interbody Lumbar Fusion is a particular type of fusion, or surgical procedure that permanently fuses, or unites, bones of the spine. The fusion is achieved using bone graft: bone material either acquired from a bone bank or transplanted from elsewhere in the patient's own body.
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).
“Auto” means that it’s coming from your body, and then if it’s not from your body they’re getting it from someplace else.
Well, you have five lumbar vertebrae and then you have five sacral vertebrae, they’re actually fused together, but they count out as five. They start 1, 2, 3, 4, 5 lumbar and then it goes to the sacrum 1, 2, 3, 4, 5, but they’re fused. That’s important when you go to take care of making the code, putting all the pieces together, ...
Body Part: The body part character reflects the level of the vertebrae (cervical, thoracic, lumbar and/or sacral) and the number of vertebral joints fused. The intervertebral joint is the space that is located between any two adjacent vertebrae. One factor in determining the number of fusion codes to assign is how many levels were fused.
Coding professionals must be able to distinguish between what procedures are integral to a spinal fusion and are not assigned additional codes, versus those not considered to be integral and are assigned separate codes. The following are examples of how to make that distinction.