ICD- 9-CM Diagnosis Code | Description |
---|---|
722.80 | Post-laminectomy syndrome, unspecified region |
724.00 | Stenosis, unspecified site, not cervical |
724.09 | Stenosis, other, not cervical |
724.4 | Thoracic or lumbosacral neuritis or radiculitis |
63287 Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar 63290 Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level [when specified as lumbar] ICD-10-CM CODES Lumbar laminectomy, hemilaminectomy, laminotomy, and discectomy ICD-10 codes covered if
root(s); single lumbar segment L4-5 and the secondary reported procedure would be CPT code 63048 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral) with decompression of spinal cord, cauda equina and/or nerve root(s); each additional segment lumbar L5 to S1. Per CPT, “It would be appropriate to report 63047 for the procedure,
63030 (Laminotomy [hemilaminectomy], with decompression of nerve root [s], including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar) average fee payment – $1110 – $1130 Note: Codes 63030 and 63047 are bundled per the NCCI edits with code 22630.
When the laminectomy or laminotomy is performed primarily for spinal stenosis, the decompression procedure is the primary focus and if only a minor discectomy or no discectomy is performed in the procedure, then Codes 60345 or 63047 would be used.
The 2022 edition of ICD-10-CM M43. 26 became effective on October 1, 2021.
2022 ICD-10-PCS Procedure Code 00NY0ZZ: Release Lumbar Spinal Cord, Open Approach.
Cervical laminectomy 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.
A posterior lumbar laminectomy, which is also called a decompression, is done to treat pain caused by degenerative conditions in the lower back. Disc degeneration, bone spurs, and other conditions can cause narrowing and pressure on the spinal nerves (radiculopathy) exiting the spine.
CPT Code 63030 is defined as laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; one interspace, lumbar (including open or endoscopically-assisted approach) and; Code 63047, laminectomy, facetectomy and ...
Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.
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.
Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). This helps ease pressure on the spinal cord or the nerve roots that may be caused by injury, herniated disk, narrowing of the canal (spinal stenosis), or tumors.
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.
This is the laminectomy portion of the procedure. If a discectomy is performed, the pinched nerve is gently moved to the side and the bulging or herniated disc material is removed from underneath the nerve. For the fusion, bone graft is packed around the bone of the spine to create the fusion.
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.
One concern you might develop is: Is a laminectomy a major surgery? The truth is, this surgery option is minimally invasive and, at most, might require a short hospital stay. Laminectomy offers you relief from the pain and neurological conditions that result from spinal stenosis.