Neurosurgery Coding Alert
Use 22318/22319 for Odontoid Screw
Question: Which code should I use to report placement of an anterior cervical odontoid screw? Answer: CPT added 22318 (Open treatment and/or reduction of odontoid fracture[s] and or dislocation[s] [including os odontoideum], anterior approach, including placement of internal fixation; without grafting) and 22319 (... with grafting) in 2000 to report treatment of odontoid fracture (previously no specific CPT code described this procedure). Both codes include placement of an odontoid screw, and 22319 also includes placement of bone graft(s) to stabilize the fracture or dislocation which you, therefore, may not bill separately (the national Correct Coding Initiative, or CCI, also bundles grafting procedures to 22318/22319).
Mississippi Subscriber
CCI bundles injection/pain management procedures 62310-62319, 64415-64417, 64450-64470, 64475 and 64479.
Neurosurgery Coding Alert
- Report All Services Involved for Blood-Brain Barrier Disruption Therapy
Blood-brain barrier disruption (BBBD) therapy allows for treatment of brain tumors without the need for [...] - 2003 Injection Codes Improve Coding Clarity
CPT 2003 introduced four new somatic nerve block codes, eliminating the need to bill an [...] - You Be the Coder:
'Minimal' Diskectomy Included in 22554
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Modifier -51 or -59? Solving the Mystery
Physicians, coders and carriers often have trouble distinguishing between modifiers -59 (Distinct procedural service) and [...] - Reader Question:
Pseudoarthrosis Removal Is Often Included
Question: Which are the appropriate codes for removal of pseudoarthrosis and redo laminotomy (L2/L3)? "Pseudoarthrosis" [...] - Reader Question:
Documentation and Modifiers Support Cosurgery
Question: How should I code for the transsphenoidal resection of pituitary adenoma when the otolaryngologist [...] - Reader Question:
Use 22318/22319 for Odontoid Screw
Question: Which code should I use to report placement of an anterior cervical odontoid screw?
Mississippi [...] - Reader Question:
Intraoperative Monitoring
Question: During spinal surgery, we communicate with the intraoperative monitoring specialist to assess the integrity [...] - Reader Question:
Use 63056,Not 63030,for Far Lateral Diskectomy
Question: How should I bill for removing the right far lateral lumbar disk? The surgeon [...] - Reader Question:
Unlisted-Procedure Code the Only Choice for IDET
Question: What is IDET? How should I code for it?
Oregon Subscriber
Answer: Intradiscal electrothermal annuloplasty, [...]
