Neurosurgery Coding Alert
TruFUSE Describes Posterior Fusion
Question: How would we bill for a lumbar TruFUSE technique facet fusion? Is this 22612/22614, or should we report an unlisted procedure code? Oregon Subscriber Answer: The TruFUSE technique is a method of performing a posterior fusion with allograft. For an "open" procedure, you would report 22612 (Arthrodesis, posterior or posterolateral technique, single level; lumbar [with or without lateral transverse technique]) for the first level and +22614 (-each additional vertebral segment) for each additional level beyond the first. Should the surgeon use a percutaneous approach, you will have to rely on an unlisted procedure code, such as 22899 (Unlisted procedure, spine). Be sure to have all of the documentation on hand, if necessary, to describe the procedure in full and support your claim.
Neurosurgery Coding Alert
- Part 1:
One-Step-at-a-Time Ensures Successful Spinal Stimulation Claims
Consider programming part of implantation Implanting spinal neurostimulators involves several distinct steps, each of which [...] - What Qualifies as 'More Extensive?' Find Out Now
If same condition prompts initial and follow-up procedures, 58 applies The AMA revised CPT language [...] - Use Caution When Device Maker Offers to Appeal for You
Keep control of your own claims, experts advise Device manufacturers may sometimes offer to appeal [...] - You Be the Coder:
Which Code for Flap Placement?
Question: Which code is appropriate if the surgeon places a bone flap in a subcutaneous [...] - Reader Questions:
TruFUSE Describes Posterior Fusion
Question: How would we bill for a lumbar TruFUSE technique facet fusion? Is this 22612/22614, [...] - Reader Questions:
Avoid Cat. I Code for Autologous Plasma Grafts
Question: Is there a CPT code for autologous platelet rich plasma grafts that our surgeons [...] - Reader Questions:
Separate Session = Billable Control of Bleeding
Question: I understand that you should include control of bleeding during a surgical procedure as [...] - Reader Questions:
1 Code Represents 3+ Injections
Question: When a physician injects more than three muscles on each side of the upper [...] - Reader Questions:
Report Fluoro Codes With Caution
Question: Under what circumstances may our surgeon code for fluoroscopic guidance? Illinois Subscriber Answer: In [...] - Reader Questions:
Code Per Lesion for Gamma Knife
Question: If the surgeon treats multiple lesions (in this particular case, two different lesions) during [...] - Reader Questions:
22 Might Be Best for Multiple Aneurysms
Question: How should I code if the surgeon clips multiple aneurysms during the same craniotomy? [...] - Reader Questions:
Collect for 22214, Not 0171T
Question: If the surgeon performs a lumbar spine osteotomy (22214) and places an X-STOP device [...]
