Lumbar Coding: From Decompression to Instrumentation-Case Based Spinal Coding: Lumbar (Mark E. Oppenlander, MD)

Case Based Spinal Coding: Lumbar (Mark E. Oppenlander, MD)

Video Transcription

Video Summary

In this video, Mark Openlander discusses case-based spinal coding for the lumbar spine. He goes through several case illustrations and discusses the diagnoses, ICD-10 codes, and CPT codes for each case. The cases include lumbar radiculopathy, lumbar stenosis, lumbar degenerative disc disease, and lumbar spondylolisthesis. Openlander explains the diagnostic criteria and the procedures performed for each case, such as microdiscectomies, laminectomies, and fusion surgeries. He also mentions the use of operating microscopes in some procedures. He provides the relevant diagnosis codes for each case, emphasizing the importance of documenting the specific site and level of the spine. Finally, Openlander discusses the appropriate CPT codes for the procedures performed in each case, including the use of modifiers for co-surgery and the additional reporting of instrumentation and grafting.

Keywords

case-based spinal coding

lumbar spine

ICD-10 codes

CPT codes

lumbar radiculopathy