Xlif l4-5 cpt code
AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals. Join over 150,000 members of the healthcare network in the world. If this is your first visit, be sure to check out the. Ann Barta ( ) is a senior HIM consultant at UASI. Be a part of an industry leading organization that drives the business side of healthcare. Autologous Tissue Substitute (7)—bone graft obtained from the patient during the procedure. Bone grafts may be harvested locally using the same incision, or from another part of the body requiring a separate incision. Harvesting of the bone requires a separate procedure code when it is performed through a separate incision. Nonautologous Tissue Substitute (K)—bone is harvested by a tissue bank from a cadaver. Become a member of a local chapter and attend regular meetings. L4-L5 and L5-S1 transforaminal lumbar interbody fusion with autogenous iliac crest graft and BAK cage. If a mixture of autologous and nonautologous bone graft (with or without biological or synthetic extenders or binders) is used, the procedure is coded with device value Autologous Tissue Substitute (7). Can you provide details of your Operative report (and the codes your physician suggests)?. Devices: Spinal fusions can be performed using several different techniques and the device character identifies the device/material used to perform the fusion. These devices/materials include: Incision made through a midline incision in the back. Harvesting bone graft from right iliac crest through separate incision. Access to the largest healthcare job database in the world. Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance. The neurosurgeon's note is more descriptive of the access and includes: An incision was made in the left flank and then electrocautery was used for hemostasis. The subcutaneous tissue was divided down to the muscle wall. A 2nd incision was made at the lateral edge of the paraspinous musculature. Metzenbaum scissors were passed into the retroperitoneum and opened, not allowing the scissors to close in the retroperitoneum. They were then removed creating fascial defects in the paraspinous musculature, allowing penetration of the finger into the retroperitoneum. The retroperitoneal adhesions were broken up allowing organs to drop anteriorly away from the psoas muscles. Transverse spinous processes were identified. The L4-5 disk space was identified. A dilator with a neuro-monitoring was passed through the lateral incision into the retroperitoneal on the tip of an index finger passed through the paraspinous muscle incision. That fingertip was then used to guide the dilator down to the L4-5 disk space, slightly posterior in the disk space. - - - note goes on to describe the discectomy, etc. As with Example #1 the pedicle screw instrumentation is included in the L3-L5 spinal fusion and not coded separately. 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 an interbody fusion device is used (alone or containing. L2-L3 posterolateral/posterior arthrodesis with locally harvested morcellized autograft and BMP. Centers for Medicare and Medicaid Services. "ICD-10-PCS Official Guidelines for Coding and Reporting 2016." www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Official-ICD-10-PCS-Coding-Guidelines-.pdf. Visit Mozilla Corporation's not-for-profit parent, the Mozilla Foundation. If you haven't previously confirmed a subscription to a Mozilla-related newsletter you may have to do so. Please check your inbox or your spam filter for an email from us. Congrats! You're using the latest version of Firefox. Your system may not meet the requirements for Firefox, but you can try one of these versions:. Your system doesn't meet the requirements to run Firefox. You're using an insecure, outdated operating system no longer supported by Firefox. Your system doesn't meet the requirements to run Firefox. Portions of this content are 1998–2018 by individual mozilla.org contributors. Content available under a Creative Commons license. Your system doesn't meet the requirements to run Firefox. Your system may not meet the requirements for Firefox, but you can try one of these versions:. Your system doesn't meet the requirements to run Firefox. 
 

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Last Updated 8 December 2004