Question

Group A Group B Group C Group D Group E Chapters: 14-3 14 14-1 Nersus System 438 CHAPTER 12 with foraminotomies on the letft and the right side The leanet foum was very hypertruphic. The tacets were hypertroghc e thosp down Retracted on the nerve root and got the disc apase les whot haccened on the left side There was a disc matral on ne ot 14 1 took this down, went intn the disc space and renoved nt degenerating material. On the right side. I did the sane thing The f here was on the body of L3. We took it down, tock the midine fraren down I was satisfed that I had cleaned out the dist space There w compression on the nerve roots Passed a hockey stick ug and md and down and medially into the foramen. The dura was well con Irigated the wDund well, After this, we then put Gleotec at 25 the right and on the left side. No drains were unliod The unbot fascia was appreximated with double knotted 0 chromic Vy well, 2-0 plain in the subrutaneous tissue, and suricl s skin. A dressing was applied. The patient was discharged e postanesthesia rocovery) Operative Report, Laminotomies and Foraminotomies CASE 12-12B LOCATION Inpatient Hospital PATIENT Todd 0smond ATTENDING PHYSICIAN Timothy Pleasant M) the SURGEON Timothy Pleasant, MD PREOPERATIVE DIAGNOSIS Hemiated disc L3-4 (thind lumbar vertebra fnurthl on the right and the left POSTOPERATIVE DIAGNOSIS: Hemiated disc 13-4 an the right and ha. usu infit shas fase PROCEDURE PERFORMED Bilateral lamingtomies and foraminutomies at 13-4 with removal of the disc from the right and left side Application of an allograft, 2.5 cc (oubic centimeterl on each side ANESTHESIA General the left on th a ger disse PROCEDURE The patient was placed in a prone position. The back was prepped and draped in the usual manner, The previous incision was incised The erector spinge muscles were dissected from the lanina About three or four retractors were placed in the wound. We solated the L3-4 interspace via x-ray. Laminutomies were performed The 1- approa SERVICE CODES ICD-10-CM DX CODEIS) CAS LOCATIOn PATENT ATTENDIN RADIOLOG Discharge Summary CASE 12-12C seal; it is clear. His leg pain is gone i wil see fn n o ir diechasned with Parcnget a uneventful. He has a ittle dranage from the wound burin EXAMNAT LOCATION Inpatient, Hospital lEA

Can you help me find the Service code or Cpt code and the ICD-10 code. Rationale reasoning is needed for the codes. Thanks

Answer 1

M51.27 is the ICD 10 code for Herniated disc in L3-4.It indicates diagnosis and location.It is for intervertebral disc displacement and the location is in the lumbar region.

Service codes:

63030- Code for bilateral laminotomies and foraminotomies with disc removal .

20930 - Code for allograft in spine surgery

Laminotomy , foraminotomy and placement of allograft are the three important procedures performed.Hence it is enough to code these three.