AHA Coding Clinic® for ICD-9 - 2005 Issue 4; VOLUME 3 NEW/REVISED CODES

Implantation of Interspinous Process Decompression Device

Effective October 1, 2005, a new code has been created to uniquely identify the implantation of an interspinous process decompression device (84.58). This procedure is performed to treat symptomatic lumbar spinal stenosis (LSS). Lumbar spinal stenosis involves the narrowing of the spinal canal or neural foramina. Degenerative stenosis is the most common form of LSS and is part of the natural aging process. Symptoms include pain, numbness, and tingling of the lower extremities. Flexion and sitting relieve symptoms, while extension exacerbates them. Implantation of interspinous process decompression device (IPD) is a minimally invasive procedure. The IPD is placed...

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