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

Interbody Spinal Fusion with Stem Cell Aspiration

A patient with Grade 1 spondylolisthesis L4 on L5, degenerative disc disease of L5-S1, severe lumbar nerve root compression, and severe spinal stenosis is admitted for surgery. Posterior decompression of L3, L4, and L5 is performed with foraminotomies and posterolateral fusion of L4-L5 and S1. Stem cell marrow aspiration is also performed for bone grafting. The marrow aspirate is mixed with the morphogenic demineralized bone graft and inserted posterolaterally. Is code 84.52, Insertion of recombinant bone morphogenetic protein (rhBMP) appropriate for this procedure? What are the appropriate procedure code assignments? ...

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