AHA Coding Clinic® for HCPCS - 2022 Issue 2; Ask the Editor

Facet cyst excision without laminectomy

A patient with a facet cyst at L5-S1 with resultant stenosis and left lower extremity radiculopathy presented for excision of the facet cyst with decompression at L5-S1. A midline incision was made and a hemilaminotomy was performed at L5 with removal of ligamentum flavum. The degenerated cyst was encountered and removed in multiple pieces. The leading edge of the S1 lamina was taken down and the S1 nerve was decompressed. What is the correct CPT code for an excision of a facet cyst when there is no documentation of a laminectomy? ...

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