tdiederich
Contributor
Please help. Our spine doctor is taking a patient back into surgery after he had undergone a TLIf at L4-L5 as well as a posterior spinal fusion with instrumentation, L4-L5. The patient experienced migration of his cage postoperatively with increased lumbar-based pain. He returned to the OR for a revision of his anterior cage one month after his initial surgery. How do you code a revision? Here is part of the OP report.
I removed the rods, placed distraction around the left side and was capable of removing the cage from the L4-L5 interspace. I upsized the cage and packed this with new bone morphogenetic protein. We inserted in the spacing and pressed. We were quite happy with the position of the cage. We compressed significantly posterior aspect of the spine to receate lordosis and also prevent posterior cage migration. I was very happy with the cage position and the instrumentation. I replaced the BNP with mesh graft matrix in the facet and lateral gutters.
Procedure performed:
Removal of anterior intervertebral device, L4-L5
Application of intervertebral biomechanical device, L4-L5
Any help would be greatly appreciated. Thanks!
I removed the rods, placed distraction around the left side and was capable of removing the cage from the L4-L5 interspace. I upsized the cage and packed this with new bone morphogenetic protein. We inserted in the spacing and pressed. We were quite happy with the position of the cage. We compressed significantly posterior aspect of the spine to receate lordosis and also prevent posterior cage migration. I was very happy with the cage position and the instrumentation. I replaced the BNP with mesh graft matrix in the facet and lateral gutters.
Procedure performed:
Removal of anterior intervertebral device, L4-L5
Application of intervertebral biomechanical device, L4-L5
Any help would be greatly appreciated. Thanks!
