2022年4月12日 · L4-5, L5-S1 = 64493, 64494. Per CMS guidelines: Facet joint - A diarthrodial joint in the spinal column (also called the zygapophysial joint or z-joint), producing the articulation of the posterior elements of one vertebra with its neighboring vertebra. They are bilateral superior and inferior articular surfaces at each spinal level. The terminology or nomenclature of the …

2016年9月13日 · I have a physician who documented radio-frequency ablation for "levels L4, L5 and S1." I understood this to be 3 levels and the doctor says this is only 2 levels. I understand her reasoning behind this, but I am wondering about the documentation. I understood the documentation L4/5 and L5/S1 as...

2012年3月11日 · I need some help coding Bilateral Radiofrequency Ablation Injections The op note I am coding is as follows: Lumbar selective Facet Medial Branch Radiofrequency under flouro on L3,L5, S1, L4 all bilaterally. I am having trouble coding these, can someone help... I think i am having a units...

2016年8月1日 · Question: During the same operative session, the orthopedic surgeon performed the following procedures: L4-L5 discectomy, L5-S1 discectomy, L4-L5 transforaminal interbody fusion using posterior interbody technique, L5-S1 transforaminal interbody fusion using posterior interbody technique, bone graft placement (local autograft), L4-L5 interbody cage placement, …

2017年10月30日 · Hello, I am wondering if anyone can give clarification on whether MBB performed on L3, L4, L5, and S1 (on the sacral ala) is coded as 64493 64494 and 64495 or only 64493 and 64494? I am getting conflicting info stating it is for L4/L5, L5/S1 and S1/S2 facet joints and another stating it only...

2013年2月12日 · L4 medial branch and L5 medial branch innervating the L5-S1 facet joint as seen below in AMA CPT Assistant, The procedure note you provided would support 64493 with modifier 50. See the MLN Matters article from CMS stating modifier 50 should be used with facet injections. If the carrier does not allow the reporting of the 50 modifier then you could as 64493 …

2013年9月1日 · Spine procedure coding can make even the most confident coder squirm. But spine procedure coding doesn’t have to be difficult.

2016年6月1日 · Although Medicare guidelines disallow modifier 59 when decompression and fusion are performed at the same interspace, it may be used when the procedures are performed at different interspaces. For example, a combined posterior lumbar interbody fusion and posterolateral fusion at L5-S1, with an adjacent posterolateral fusion at L4-L5, with …

2008年12月1日 · Posterior Approaches A posterior approach gains access to the spine through an incision in the back (or the back of the neck) with the patient prone or face down. In the lumbar region, the surgeon can perform an interbody fusion via posterior approach. This procedure is commonly called a posterior lumbar interbody fusion (PLIF). As with the anterior interbody …

2020年11月14日 · L5-S1 is the same level - the foramen and the epidural space are between any two vertebral segments, so it requires two vertebrae to identify each single level - the L5 cannot be considered a separate level from the S1 in this particular coding scenario. Since the code description for...