Neurosurgery Coding Alert
Billing 63047 and 22630
California Subscriber
Answer: It is considered correct coding to bill 22630 (arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace [other than for decompression], single interspace, lumbar) and 63047 (laminectomy, facetectomy and foraminotomy [unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], e.g., spinal or lateral recess stenosis, single vertebral segment; lumbar) together provided that a significant nerve decompression (such as foraminotomy or facetectomy) has been documented. Many carriers (such as California Medicare) have said that they cannot be billed together even in case of de-compression. But, if this occurs, appeal the claim for payment.
Neurosurgery Coding Alert
- Improve Pay Up with Proper Modifiers for Substitute Neurosurgeons
Obtaining reimbursement from Medicare for procedures performed by substitute neurosurgeons can be tricky because of [...] - Dont Forget to Code for all Aspects of PLIF to Achieve Optimal Reimbursement
When billing for a posterolateral interbody fusion (PLIF), such as code 22630 (arthrodesis, posterior interbody [...] - You Be the Coder:
Lumbar Fusion
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - News Brief:
Supervision Requirements for Medicare Diagnostic Tests
HCFA has released Program Memorandum No. B-01-28, dated April 19, 2001, outlining the supervision rules [...] - Reader Question:
Endonasal Transsphenoidal Resection
Question: If a neurosurgeon uses fluoroscopic guidance during an endonasal transsphenoidal resection of a pituitary [...] - Reader Question:
Billing 63047 and 22630
Question: Is it appropriate to bill 63047 with 22630?
California Subscriber
Answer: It is [...] - Reader Question:
Coding for Needle Biopsy
Question: How would the following surgery be coded? The operative note reads: Transoral needle biopsy [...] - Reader Question:
Charging for X-ray, MRI Interpretations
Question: Can neurosurgeons charge for reading x-rays and MRIs taken at an outside facility?
Vermont Subscriber
[...] - Reader Question:
Segmental vs. Non-segmental Instrumentation
Question: If a neurosurgeon places pedicle screws at L3 and L5 and connects a rod [...] - Reader Question:
Payment for Travel
Question: Our physician assistant (PA) traveled to a patients home to refill his pain pump. [...] - Reader Question:
Workers Compensation Fee Schedule
Question: I have a workers compensation carrier that I dont think paid enough. Where is [...] - Reader Question:
Craniofacial Surgeries
Question: Our neurosurgeon performs craniofacial surgeries with a plastic surgeon. The plastic surgeon's office bills [...]
