Neurosurgery Coding Alert

Question: Our surgeon performed the following procedures:1) Hardware removal with fusion exploration, L3-L5.2) Redo posterolateral fusion using a combination of local bone as well as Grafton demineralized bone matrix (DBM) from L3-L5.3) Right L2-L3 decompression for spinal stenosis.4) Right L2-L3 transforaminal lumbar interbody fusion using K2 PEEK interbody device and local bone and DBM.5) Instrumentation from L2-L5 using the K2 Mesa System.6) Neuromonitoring.This was reported with codes: 22612 (Arthrodesis, posterior or posterolateral technique, single level; lumbar [with or without lateral transverse technique]); 22614 (Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment [List separately in addition to code for primary procedure]); 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace [other than for decompression], single interspace; lumbar); 63047 (Laminectomy, facetectomy and foraminotomy [unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar); [...]