Postop dx:L4-L5 spinal stenosis with left paracentral herniated disk.
Procedure in summary:
Placed prone on Jackson OSI table, Multiplanar fluoroscopy was brought into view where the L4-L5 level was identified. through a midline incision, dissection was carried down through skin and subcutaneous tissue down to the level of the lumbar fascia. This was incised and the L4-L5 segment was identified.performed a central laminectomy at the L4 level followed by hemilaminectomy at the L5 level using a combination of Leksell rongeur as well as Kerrison punches. A severe spinal stenosis noted at L4-L5, moderate paracentral herniated disk was also noted at the left L4-L5 segment. This was removed in its entirety and then attention was directed to the L4-L5 level. The disk space was flushed without any recurrent fragments. Intraoperative microscope was used to visualize the fine structures in the field and performed a tedious dissection of the stenosis in the 4-5 segment. The wound was then copiously irrigated and closed in layers. Not sure if 63030 is the only code I can use?
thank you