A description of posterior lumbar fusion surgery procedure
Spinal fusion is most often done along with other surgical procedures of the spine it may be done: with other surgical procedures for spinal stenosis, such as foraminotomy or laminectomy after diskectomy in the neck. In this video, he educates viewers with a step by step process while performing a posterior revision decompression and lumbar fusion surgery of the spine this video is an edited compilation of an. Posterior lumbar fusion (plf) is the general term used to describe the technique of surgically mending two (or more) lumbar spine bones together along the sides of the bone bone graft is placed along side the spine bones (not in between the disc spaces, which is called an interbody fusion), and ultimately fuses together. Oblique lateral lumbar interbody fusion (ollif) is a new technique that allows for the fusion of the lumbar spine through a single 10-15 mm incision, with faster surgery times and an easier approach than any previous technique. The procedure to implant an intervertebral cage from back of your body is called posterior interbody fusion to access your spine using this approach, your doctor will need to remove the lamina of the upper vertebrae and move your nerve roots out of the way.
Authorization for the decompression procedure being performed as part of the lumbar fusion surgery this is included in the lumbar fusion request example: decompression cervical posterior decompression (without fusion) 63001, 63015, 63020,+63035, 63040, lumbar spine surgery payment for procedures is contingent on the patient’s. A posterior lumbar fusion is performed to stabilize the lower spine and to eliminate painful movement that may be caused by one or more segments this procedure commonly is used to treat lumbar spondylolisthesis , lumbar degenerative disc disease and recurrent lumbar disc herniations. Spinal decompression surgery (laminectomy) removes the compressive structures, including hypertrophic ligamentum flavum and lumbar facet joint osteophytes the goals of surgical treatment are to alleviate neural compression (decompression) and, in selected patients with a deformity or instability, to stabilize the spine (fusion), so as to.
Alif with posterior instrumentation procedure description cpt ® comments anterior interbody fusion, lumbar 22558 +22585 fusion of each additional interspace. Spinal fusion is a surgical procedure used to correct problems with the small bones in the spine (vertebrae) it is essentially a welding process description spinal fusion eliminates motion between vertebrae it also prevents the stretching of nerves and surrounding ligaments and muscles in a posterior approach to lumbar surgery. Midline lumbar fusion versus posterior lumbar interbody fusion the safety and scientific validity of this study is the responsibility of the study sponsor and investigators listing a study does not mean it has been evaluated by the us federal government.
Spine surgery quandary: posterior lumbar interbody fusion when do you bill 63056-59 with 22633, rather than 63047-59 whether to report 63047 with a posterior lumbar interbody fusion (22630 or 22633) is clear when reviewing cpt® coding guidelines the cpt® description for modifier 59 distinct procedural service. Posterior lumbar interbody fusion (plif) is a form of spinal fusion, often performed as a traditional open spine procedure, used to treat degenerative spine conditions in the lower back living with the pain of a lumbar spine condition can have a negative impact on your quality of life. Posterior spinous process processes to stabilize the segment by distraction and promote fusion while maintaining motion by physicians in spine surgery has a category i or iii cpt code.
Lumbar spine surgery techniques lumbar decompression procedures are generally performed from the posterior (back) and include the techniques below a bone growth stimulator may be prescribed to help spinal bone heal after a fusion procedure this is called a 360 procedure because the spine is approached from the front and back. Dlif: description of procedure written by reginald q knight, md, mha direct lateral transpsoas lumbar interbody fusion is performed with the patient in a right lateral decubitus position on a radiolucent table for a left sided approach. Extreme lateral interbody fusion (xlif) is a minimally invasive procedure performed through the side of the body to treat spinal disorders and reduce long-term back or leg pain that has not responded to other treatments, such as steroid injections, physical therapy and pain medication.
A description of posterior lumbar fusion surgery procedure
360 degree lumbar fusion is also known as an anterior/posterior lumbar fusion the procedure is an extremely common method for fusing the lumbar spine in which there is an incision anterior in the abdominal area and incisions posterior in the lumbar or low back region. Lumbar fusion surgery is a procedure performed to immobilize two adjacent vertebrae or a number of vertebrae in the lower back part of the spine it may be performed to relieve back pain, stabilize the spine, or to restore a more normal shape to the spine. The posterior approach to lumbar spinal fusion is done from your back this approach can be just a fusion of the vertebral bones or it can include removal of the problem disc if the disc is removed, it is replaced with a bone graft.
Cpt codes 22630 and 22632 describe arthrodesis performed by posterior interbody technique, which is a fusion of the lumbar vertebrae, primarily accomplished by placement of a bone graft in the space between two vertebral bodies (interspace), using a posterior approach. For posterior (plif) or transforaminal (tlif) approach lumbar interbody fusions, cpt code 22630 is used, and the dissection needed to access the disc space in these approaches is considered an incidental component of the fusion procedure.
Correct code assignment for spinal surgery procedures is best achieved with the development of an understanding of related anatomy, surgical terminology, and procedure descriptionsso here goes a very important coding note for the coder to understand is the body part values for fusion procedures are classified as joints— not as individual. Coding for spinal procedures ahima 2009 audio seminar series 8 notes/comments/questions pathological conditions 3241 intraspinal abscess 3368 other myelopathy 3369 myelopathy nos, cord compression 7200 ankylosing spondylitis 737xx curvature of spine (acquired) 7542 congenital musculoskeletal deformities of spine. Posterior spinal fusion (psf) is an operation to stabilize the spine, relieve pressure on irritated nerves and ensure this pressure does not return at that place this surgery involves an incision in the midline of the back ( posterior . Spinal fusion is surgery to join two or more vertebrae into one single structure the goal is to stop movement between the two bones and prevent back pain once they’re fused, they no longer.