Need some help with coding laminotomies with cyst removal. Below is the relevant information from the note. I have seen 63267 suggested for removal of the synovial cyst, but the surgeon did not do a laminectomy at that level. He did a laminotomy.
--Bilateral re-do laminotomies and foraminotomies completed at L1, L2 and L3 for decompression of nerve roots. There was severe critical stenosis so the the left L1 and L2 pedicles were drilled down for transpedicular decompression. He encountered a left L2-L3 synovial cyst and facet cyst, which was resected with microdissection under the microscope. --
Thoughts?
--Bilateral re-do laminotomies and foraminotomies completed at L1, L2 and L3 for decompression of nerve roots. There was severe critical stenosis so the the left L1 and L2 pedicles were drilled down for transpedicular decompression. He encountered a left L2-L3 synovial cyst and facet cyst, which was resected with microdissection under the microscope. --
Thoughts?