AHA Coding Clinic® for ICD-9 - 2006 Issue 1; Ask the Editor

Interbody Spinal Fusion with Stem Cell Aspiration

A patient with lumbar nerve root compression and degenerative disc disease with spinal stenosis of levels L5-S1 is admitted for surgery. Posterior decompression laminotomy is performed. Excision of herniated discs L2-L3 is also performed with a posterior lumbar interbody spinal fusion L2-L3 and L3-L4. In addition, aspiration of stem cells from the posterior iliac crest is performed. The stem cell aspirate is then mixed with bone paste and injected into the anterior disc space. What are the appropriate procedure code assignments? ...

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