AHA Coding Clinic® for ICD-9 - 2008 Issue 1; Ask the Editor

Lumbar Spinal Fusion Using the Optimesh System

The patient presented with symptomatic lumbar spondylosis refractory to conservative measures. The surgeon accomplished posterior lumbar interbody fusion L3-L4 and L4-L5 using the Optimesh system, discectomy of L3-L4 and L4-L5, packing of the disc space with autogenous bone that was harvested from the iliac crest, and pedicle screw instrumentation. What is the appropriate code assignment for this procedure? ...

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