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Supplemental Table S1

Procedures, procedural codes, and associated diagnoses used to query the 5% Medicare sample database

Surgery CPT

Code(s) ICD-9 Procedure

Code(s) ICD-9 Codes for Degenerative Spine Disease-Related Diagnoses

Anterior Cervical Discectomy and

Fusion 22551 81.00

81.02

721.00: Cervical Spondylosis without Myelopathy 721.1: Cervical Spondylosis with Myelopathy 722.71: Intervertebral Disc Disorder with

Myelopathy,

Cervical Region

723.0: Spinal Stenosis in Cervical Region 723.1: Cervicalgia

723.4: Brachial Neuritis or Radiculitis, not Otherwise

Specified

Posterior Cervical

Fusion 22600 81.01

81.03

721.0: Cervical Spondylosis without Myelopathy 721.1: Cervical Spondylosis with Myelopathy 723.0: Spinal Stenosis in Cervical Region 723.1: Cervicalgia

723.4: Brachial Neuritis or Radiculitis, not Otherwise

Specified

360

o

Cervical

Fusion

22551 AND 22600

(81.00 OR 81.02) AND (81.01 OR 81.03)

Same as ICD-9 codes for anterior cervical discectomy and fusion and posterior cervical fusion

Lumbar

Microdiscectomy 63030 80.51

721.3: Lumbosacral Spondylosis without Myelopathy

721.42: Spondylosis with Myelopathy, Lumbar Region

722.1: Displacement of Lumbar Intervertebral Disc without Myelopathy

722.52: Degeneration of Lumbar or Lumbosacral Intervertebral Disc

722.73: Intervertebral Disc Disorder with Myelopathy,

Lumbar Region

724.02: Spinal Stenosis, Lumbar Region, without Neurogenic Claudication

724.2: Lumbago

724.4: Thoracic or Lumbosacral Neuritis or Radiculitis,

Unspecified

Lumbar

Laminectomy

63047 3.09

721.3: Lumbosacral Spondylosis without Myelopathy

721.42: Spondylosis with Myelopathy, Lumbar Region

722.5: Degeneration of Thoracic or Lumbar Intervertebral

Disc

722.73: Intervertebral Disc Disorder with Myelopathy,

Lumbar Region

724.03: Spinal Stenosis, Lumbar Region, with Neurogenic

Claudication

(2)

724.20: Lumbago

Lumbar Fusion, Posterior Approach

22630 22612 22633

81.07 81.08

721.3: Lumbosacral Spondylosis without Myelopathy

721.42: Spondylosis with Myelopathy, Lumbar Region

722.1: Displacement of Lumbar Intervertebral Disc without Myelopathy

722.52: Degeneration of Lumbar or Lumbosacral Intervertebral Disc

722.73: Intervertebral Disc Disorder with Myelopathy,

Lumbar Region

724.02: Spinal Stenosis, Lumbar Region, without Neurogenic Claudication

724.2: Lumbago

724.3: Sciatica

724.4: Thoracic or Lumbosacral Neuritis or Radiculitis,

Unspecified

Lumbar Fusion,

Anterior Approach 22558

22585 81.04

81.06

Same as ICD-9 codes for lumbar fusion, posterior approach

360

o

Lumbar Fusion

(22558 OR 22585)

AND (22630

OR 22612

OR 22633)

(81.04 OR 81.06) AND (81.07 OR 81.08)

Same as ICD-9 codes for lumbar fusion, posterior approach

CPT, Current Procedural Terminology; ICD, International Classification of Diseases

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