DecisionHealth, DecisionHealth - 2024 Issue 6 (June)

Q&A: Check for these clues when coding open vs. percutaneous spine procedures

Question: What procedure code should we report for a transcutaneous disc resection with micrograsper, neural decompression, discogram and discographic interpretation via lateral extra foraminal approach, L4-5 percutaneous lumbar disc decompression, transpedicular approach in which a probe is fluoroscopically guided into the L4-5 disc and manual aspiration of disc material from the disc nucleus is performed? Our surgeon says this is a “non-needle-based technique.” We received guidance to report open code 63056 for the procedure, but we’re not sure that is correct.

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