What are the icd-10-pcs codes for this scenario?
A 55-year-old male patient presents with persistent lower back pain, radiating down the back of his left leg, accompanied by numbness and weakness. Diagnostic imaging reveals a herniated lumbar disc at the L5-S1 level, causing compression of the adjacent nerve roots. After conservative treatment measures such as physical therapy and pain management fail to provide relief, the patient and his healthcare team decide to proceed with surgical intervention.
The patient undergoes a laminectomy of the lumbosacral disc L5-S1. Under general anesthesia, an incision is made over the lower back, and the muscles and tissues are gently retracted to expose the lamina of the fifth lumbar vertebra and the first sacral vertebra. The lamina is then carefully removed, providing access to the herniated disc. The surgeon meticulously excises the portion of the disc that is impinging on the nerve roots, relieving the pressure and decompressing the spinal canal. The incision is closed, and the patient is closely monitored in the recovery room before being transferred to the orthopedic ward for postoperative care.