AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Decompressive Laminectomy (Release of Spinal Cord versus Release of Spinal Meninges)

The patient presented with a postoperative wound infection following spinal fusion surgery, and underwent decompressive laminectomy, with removal of Coflex device and incision and drainage. Decompression was performed bilaterally from L2-L3, L3-L4 and L4-L5. The thecal sac was then free of compression. For this type of procedure, the surgeon will typically document release of “thecal sac.” What is the appropriate body part for the decompressive laminectomies, spinal cord or spinal meninges? ...

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