Code Details & Principles for V5230
Code details & principles for
V5230
- Chapter 3 / Lumbar Region
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| V5230 | Discogram/Diagnostic intervertebral disc injection under X-ray control | 3.1.3 Lumbar Region |
Unacceptable Combinations for V5230
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| V2200 | Posterior decompression +/- foraminotomy - cervical region (1 or 2 levels) | 2014-08-06 |
| V2201 | Posterior decompression +/- foraminotomy - cervical region (3 or more levels) | 2014-08-06 |
| V2282 | Prosthetic intervertebral disc replacement - cervical region (1 or 2 levels) +/- spinal cord monitoring | 2014-08-06 |
| V2283 | Prosthetic intervertebral disc replacement - cervical region (3 or more levels) +/- spinal cord monitoring | 2014-08-06 |
| V2300 | Revisional posterior decompression +/- foraminotomy (cervical region) | 2010-01-20 |
| V2400 | Posterior decompression with fusion (thoracic region) including spinal cord monitoring | 2010-01-20 |
| V2402 | Posterior decompression (thoracic region) including spinal cord monitoring | 2010-01-20 |
| V2430 | Revisional posterior decompression with fusion (thoracic region) including spinal cord monitoring | 2010-01-20 |
| V2500 | Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) including spinal cord monitoring | 2014-08-06 |
| V2501 | Primary posterior fusion +/- decompression +/- discectomy - lumbar region (3 or more levels) including spinal cord monitoring | 2014-08-06 |
| V2510 | Endoscopic discectomy and/or decompression (transforaminal) - lumbar region | 2012-02-27 |
| V2540 | Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (1 or 2 levels) | 2014-08-06 |
| V2541 | Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (3 or more levels) | 2014-08-06 |
| V2542 | Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (1 or 2 levels) | 2014-08-06 |
| V2543 | Revision of posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) | 2013-06-04 |
| V2544 | Revision of posterior excision of disc prolapse (lumbar region) | 2010-01-20 |
| V2546 | Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (3 or more levels) | 2014-08-06 |
| V2560 | Decompression for central spinal stenosis (1 or 2 levels) | 2012-06-11 |
| V2562 | Decompression for central spinal stenosis (3 or more levels) | 2013-04-24 |
| V2570 | Percutaneous vertebroplasty - 1 level | 2010-01-20 |
| V2652 | Revision posterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring | 2010-01-20 |
| V2660 | Revision of decompression for central spinal stenosis | 2010-01-20 |
| V2680 | Revision anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring | 2010-01-20 |
| V2900 | Anterior discectomy - cervical region (1 or 2 levels) | 2014-08-06 |
| V2901 | Anterior discectomy - cervical region (3 or more levels) | 2014-08-06 |
| V2902 | Revisional anterior discectomy (cervical region) | 2010-01-20 |
| V2950 | Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (1 or 2 levels) | 2014-08-06 |
| V2951 | Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (3 or more levels) | 2014-08-06 |
| V2980 | Combined anterior and posterior fusion of cervical spine | 2010-01-20 |
| V3100 | Combined anterior discectomy and posterior fusion (thoracic region) including spinal cord monitoring | 2010-01-20 |
| V3102 | Revisional combined anterior discectomy and posterior fusion (thoracic region) including spinal cord monitoring | 2010-01-20 |
| V3120 | Transthoracic/ anterolateral excision of intervertebral disc +/- fusion including spinal cord monitoring | 2010-01-20 |
| V3122 | Revisional transthoracic/ anterolateral excision of intervertebral disc +/- fusion including spinal cord monitoring | 2010-01-20 |
| V3140 | VATS percutaneous discectomy +/- fusion (thoracic region) including spinal cord monitoring | 2010-01-20 |
| V3181 | Prosthetic intervertebral disc replacement in the thoracic spine including spinal cord monitoring | 2010-01-20 |
| V3300 | Percutaneous intradiscal laser ablation (lumbar region) | 2010-01-20 |
| V3340 | Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (1 or 2 levels) including spinal cord monitoring | 2014-08-06 |
| V3341 | Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (3 or more levels) including spinal cord monitoring | 2014-08-06 |
| V3350 | Combined anterior approach discectomy, decompression and fusion and posterior fusion (lumbar region) including spinal cord monitoring | 2014-02-07 |
| V3362 | Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf stabilisation and all fusion approaches) (lumbar region) including spinal cord monitoring | 2014-02-07 |
| V3380 | Prosthetic intervertebral disc replacement - lumbar region (1 or 2 levels) | 2014-08-06 |
| V3381 | Prosthetic intervertebral disc replacement - lumbar region (3 or more levels) | 2014-08-06 |
| V3472 | Revision of minimally invasive intradiscal surgery (lumbar region) | 2010-01-20 |
| V3720 | Posterior fusion +/- instrumentation - cervical region (1 or 2 levels) including spinal cord monitoring | 2014-08-06 |
| V3721 | Posterior fusion +/- instrumentation - cervical region (3 or more levels) including spinal cord monitoring | 2014-08-06 |
| V4740 | Image guided percutaneous spinal biopsy | 2010-01-20 |
| V4742 | Spinal endoscopy | 2010-01-20 |
| V4900 | Open biopsy of lesion of spine where no other operative procedure on the spine is performed | 2010-01-20 |
| XR500 | Chemonucleolysis | 2010-01-20 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information