Assignment task:
Code the following case study. One code is required.
Preoperative Diagnosis: Low back pain with lumbar facet arthropathy, lumbar radiculopathy
Postoperative Diagnosis: Low back pain with lumbar facet arthropathy, lumbar radiculopathy
Procedure: Spinal Cord Stimulator implant with neural modulation. (Code only the lead implant) Need Assignment Help?
Procedure Notes: The patient was placed in the prone position and the back was aseptically prepped and draped. A local anesthesia was given. An epidural needle was then guided under fluoroscopic guidance to reach the epidural space by loss of resistance technique. The needle was then advanced to T8-9 level. The stimulator was analyzed, had good coverage of all her painful spots, the lead was anchored by extending the incision at the Para spinal area around L1-2 and then lead was anchored in the spinal canal with 2-0 silk. Dr. X did the pocket for the generator and completed the implant. The patient was discharged uneventfully. (Be careful with the body part on the implant. Read the documentation carefully.)
ICD-10-PCS code (for the spinal cord stimulator lead implant):