I'm cuurently rated 10 % for Lumbar spine L2 & L3 wide hemilaminectomies, epidural abcess rated in 2000. I asked for an icrease based on condition got worse and did C & P in Last march, just got a copy in the mail.
Diagnosis:
For the VA established diagnosis of Lumbar spine L2 and L3 wide hemilaminectomies, epidural abscess, the diadgnosis is changed to sever degenerative disc disease of the lumbar spine, status post L2-L3 laminectomy surgery. This is a result of progression of the previous diagnosis. The claimant has developed severe degerative disc disease of the lumbar spine, status post L2 L3 laminectomy surgery. The degenerative changes are associated with the prior Laminectomy at L2 & L3, and this has occurred with chronic inflammatory changes in the lumbar spine, and with abnormal weight bearing. There is no evidence of epideral abscess on mRI and that condition has resolved. The subjective factors are: History of chronic pain, Objective: findings on MRI and diagnosis is consistent.
Range of motion
ROM Deg
Forward Flexion- 20 20
extension- 5 5
right lat 10 10
left lat 10 10
right rotation 15 15
Left rotation 15 15
Repetitive ROM not possible because repetitive range of motion of lumbar spine is not possible because of sever pain in the lower back with range of motion.
My question is since i getting 20% for Lumbar spine L2 and L3 wide hemilaminectomies, epidural abscess- would they ad code 5003 as an additional condition? How is the range of motion rated when it cannot be done repetitive?