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

Postoperative Pseudomeningocele

A woman who is status post lumbar laminectomy seven months ago was admitted with complaints of increased low back pain and pain in her legs. A magnetic resonance imaging (MRI) scan demonstrated substantial pseudomeningocele formation emanating from the L4-5 motion segment. The patient was admitted for revision of the laminectomy with dural graft repair from the previous surgery. The attending physician confirmed the presence of a pseudomeningocele. What are the appropriate diagnosis code assignments? Should the pseudomeningocele be coded as a surgical complication? And is the dural leak inherent to the pseudomeningocele? ...

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