The code for removal of the instrumentation from the lumbar vertebral joint (L3-L5) is 0SP004Z and the code for removal of the instrumentation from the lumbosacral vertebral joint (L5-S1) is 0SP304Z. Procedure Example #2 Procedures performed:
The procedures to be coded are the posterior lumbar interbody fusion, discectomy, and harvesting of bone graft. 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. However, if the operative report documents a “total discectomy,” the root operation is Resection.
The removal of the segmental instrumentation would also be coded with two codes, required since two levels of the spine were involved. The code for removal of the instrumentation from the lumbar vertebral joint (L3-L5) is 0SP004Z and the code for removal of the instrumentation from the lumbosacral vertebral joint (L5-S1) is 0SP304Z.
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.
2022 ICD-10-PCS Procedure Code 00NY0ZZ: Release Lumbar Spinal Cord, Open Approach.
The work of placing the bone graft is included in the arthrodesis/fusion codes. All spinal bone graft codes are add-on codes....3. Choose the appropriate add-on bone graft code with fusion.TypeMorselizedStructuralAllograft (donor bone)+20930+20931Autograft (patient's bone)+20936, +20937+20938Dec 9, 2021
Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.
Cervical laminectomy Laminectomy is surgery that creates space by removing the lamina — the back part of a vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.
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 ...
CPT defines the Vertebral Segment as the basic constituent part into which the spine may be divided. It represents a single complete vertebral bone with its associated articular processes and laminae.
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).
The 2022 edition of ICD-10-CM M43. 26 became effective on October 1, 2021.
Z48.811Z48. 811 - Encounter for surgical aftercare following surgery on the nervous system | ICD-10-CM.
Encounter for other specified surgical aftercare Z48. 89 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 Z48. 89 became effective on October 1, 2021.
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.