awest
Networker
How would this be coded? 63030...62287...62290...not quite sure, new to pain coding.
Compression boots were placed on legs and arms were positioned in standard fashion. Once we done this, we then prepped and draped the operative area in sterile fashion. Through a left-sided approach, we used an 18-gauge Wolf needle and cannulated the L5-S1 disc space. We identified this on oblique views as well as AP and lateral views. Once we cannulated the disc space adequately, we then went ahead and placed a small guidewire through the needle and removed the guidewire. I made a small stab incision approximately 0.5 mm in length down to lumbodorsal fascia and then placed a working trocar cannula over the guidewire and cannulated L5-S1 disc space on the left side. Once we had successfully done this, I summoned ___01:44_______ issues were of the L5-S1 foramen as well. I went ahead and placed a working cannula and removed the guidewire and then checked AP and lateral views and they were adequate position.
I then placed a pituitary rongeur and did a manual discectomy as well. I removed a significant amount of disc material which was sent for permanent specimen. Once we successfully done this, we then used our YAG holmium laser and did our complete endoscopic discectomy with partial nucleoplasty as well at the L5-S1 level. Once we done with YAG with power and wattage, we went ahead and created a nice cavity. I removed the working cannula with the laser. We checked final films. There was no remnant of anything behind and then I copiously irrigated the small wound. It was reapproximated using Steri-Strips. Sterile dressing was applied. The patient was sent to recovery room in stable condition and neurologically intact. No change in neurological monitoring.
Compression boots were placed on legs and arms were positioned in standard fashion. Once we done this, we then prepped and draped the operative area in sterile fashion. Through a left-sided approach, we used an 18-gauge Wolf needle and cannulated the L5-S1 disc space. We identified this on oblique views as well as AP and lateral views. Once we cannulated the disc space adequately, we then went ahead and placed a small guidewire through the needle and removed the guidewire. I made a small stab incision approximately 0.5 mm in length down to lumbodorsal fascia and then placed a working trocar cannula over the guidewire and cannulated L5-S1 disc space on the left side. Once we had successfully done this, I summoned ___01:44_______ issues were of the L5-S1 foramen as well. I went ahead and placed a working cannula and removed the guidewire and then checked AP and lateral views and they were adequate position.
I then placed a pituitary rongeur and did a manual discectomy as well. I removed a significant amount of disc material which was sent for permanent specimen. Once we successfully done this, we then used our YAG holmium laser and did our complete endoscopic discectomy with partial nucleoplasty as well at the L5-S1 level. Once we done with YAG with power and wattage, we went ahead and created a nice cavity. I removed the working cannula with the laser. We checked final films. There was no remnant of anything behind and then I copiously irrigated the small wound. It was reapproximated using Steri-Strips. Sterile dressing was applied. The patient was sent to recovery room in stable condition and neurologically intact. No change in neurological monitoring.