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Q&A: ICD-9 codes for lumbrosacral radiology

Q: We received an outpatient radiology report (exam performed 7/11/12) where the radiologist states:

CLINICAL INDICATION: LUMBOSACRAL NEURITIS
EXAM: LUM SPINE AP/LAT
CLINICAL STATEMENT: LUMBOSACRAL NEURITIS
COMPARISON: MAY 23, 2012
FINDINGS: There is posterior spinal fusion L-3-L-5 with solid posterolateral bridging bone graft. Pedicle screws and rods are stable in position. There are bilateral laminectomy defects at L3-L-4. The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolisthesis. No acute fracture is identified. No lytic or blastic lesions are seen. The sacroiliac joints are unremarkable.
IMPRESSION: Stable postsurgical changes with solid posterolateral fusion graft.
 

Would you use the following ICD-9 codes: V67.09, 724.4. or 724.4, V45.4? Our coders disagree.

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