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LAST UPDATED: 25 Oct, 2022
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Lumbar Indirect Decompression . Lumbar Spinal Stenosis (LSS) is a degenerative condition of the lumbar spine. As we age, the soft tissue or “discs” between the vertebrae (bones that make up the spine) become worn down. This causes the spinal canal to narrow which can put pressure on the nerves in the lower back . This pressure can lead to
https://yourpainreliefcenters.com/treatments/lumbar-indirect-decompressionRegulations regarding billing and coding were removed from the CMS National Coverage Policy section of the related Lumbar Artificial Disc Replacement L37826 LCD and placed in this article. Typographical errors were corrected throughout the article. 05/06/2019 R1
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56390Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar
https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/msk--advance/2020/evicore_cmm-308-intradiscal-procedures_eff021420_pub101519.pdfThe Vertiflex™ Procedure (Superion™ Indirect Decompression System) is redefining the treatment of LSS for patients. It provides patients with a clinically proven, minimally invasive solution that is designed to deliver long-term relief from the ...
https://centerforpainrelief.com/pain-treatment/superion/method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar G0276 Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (PILD) or placebo-control, performed in an approved coverage with evidence development (CED) clinical trial
https://www.bcbsri.com/providers/sites/providers/files/policies/2020/05/2020%20Image%20Guided%20Minimally%20Invasive%20Decompression%20for%20Spinal%20Stenosis.pdf†Superion™ Indirect Decompression System References: 1. Nunley PD, Patel VV, Orndorff DG, Lavelle WF, Block JE, Geisler FH. Five-year durability of stand-alone interspinous process decompression for lumbar spinal stenosis. Clin Interv Aging. 2017;12:1409-1417. (N = 88)
https://www.bostonscientific.com/en-US/products/indirect-decompression-system/superion-indirect-decompression-system.htmlYou are probably having a hard time finding the code because CPT terminology for this procedure doesn't match the language surgeons use to describe lumbar drain placement. The correct code is 62272 (Spinal puncture, therapeutic, for drainage of cerebrospinal fluid [by needle or catheter]).
The Current Procedural Terminology (CPT) code 22612 as maintained by American Medical Association, is a medical procedural code under the range - Posterior, Posterolateral or Lateral Transverse Process Technique Arthrodesis Procedures on the Spine (Vertebral Column).
For placement of epidural catheter, a physician places a thin tube into the epidural space in the spine; the exact location depends on the type of pain. The catheter then supplies the pain medication. For placement of an epidural catheter, report CPT code 62318 for the cervical/thoracic region and CPT code 62319 for the lumbar/sacral region.
Code for Coccyx manipulation-97140. Use Modifier 59 with 64520. For the injections, typically the three procedure codes ("CPT codes") are: 77003 (fluoroscopic guidance), 64520 (sympathetic nerve block, which is the ganglion Impar block), and 64450 (somatic nerve block at the coccyx).
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