Please note this question was answered in 2022. The coding advice may or may not be outdated.
20225 vs 62267
Question:
20225 vs. 62267?
"The skin opposite the left T11 pedicle was anesthetized with 1% Lidocaine. A small dermatotomy incision was made. Additional local anesthetic applied to the posterior pedicular cortex using a 22-gauge spinal needle. Using a 13 gauge/10 cm long Stryker faceted tip bone biopsy needle, osteotomy was performed and the needle was positioned within the mid 3rd segment of the vertebral body. Utilizing two 18 gauge/20 cm long Franseen needles, biopsy material was retrieved from the endplate/adjacent disc. Material was placed in brain broth. Additional sample placed in a sterile specimen cup containing small amount of normal saline. Attempt a core biopsy through the introducer needle was performed. This retrieved very little in the way of tissue. A new 13 gauge Stryker faceted tip bone biopsy needle was utilized with a slightly more inferior transpedicular approach. This yielded an excellent core biopsy along the superior endplate of L1. Final Impression: Fluoroscopically-guided left T11 transpedicular bone biopsy of superior T11 endplate and adjacent T10-T11 disc."
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