troupe327
Guest
I need clarification if possible. I know that the narrowing described below is coded to 722.52 is this "bulging" coded to722.10? I am not sure how to pick up "facet hypertrophy" code it to degenerative? Spinal cases drive me nuts!!!
L3-4: Disc bulge flattens the ventral thecal sac with facet and ligamentum
flavum hypertrophy producing mild to moderate central canal narrowing. Neural
foraminal narrowing is moderate on the right greater than left. Small annular
fissure in the right neural foramen.
L4-5: Disc bulge with advanced facet and moderate ligamentum flavum
hypertrophy producing moderate central canal narrowing. Neural foraminal
narrowing is moderate right and mild to moderate on the left.
L5-S1: Mild facet hypertrophy without central canal or neural foraminal
narrowing.
L3-4: Disc bulge flattens the ventral thecal sac with facet and ligamentum
flavum hypertrophy producing mild to moderate central canal narrowing. Neural
foraminal narrowing is moderate on the right greater than left. Small annular
fissure in the right neural foramen.
L4-5: Disc bulge with advanced facet and moderate ligamentum flavum
hypertrophy producing moderate central canal narrowing. Neural foraminal
narrowing is moderate right and mild to moderate on the left.
L5-S1: Mild facet hypertrophy without central canal or neural foraminal
narrowing.