neurosurgery coding

  1. M

    Wiki Billing 22633 and 63267 together for Medicare.

    Has anyone come across billing a L4-5 TLIF (22633) with a extradural cyst removal (63267) in the same L4-5 interspace (extradural but adherence to the dura)? These codes are bundled per NCCI rules and our provider is stating that they are at "different locations" and we should append modifier...
  2. M

    Wiki Billing 22633 with 63267

    Has anyone come across billing a L4-5 TLIF (22633) with a extradural cyst removal in the same L4-5 interspace (extradural but adherence to the dura)? These codes are bundled per NCCI rules and our provider is stating that they are at "different locations" and we should append modifier -59. I've...
  3. J

    Wiki SNF primary dx for SDH

    Hello! Any help and input for this situation is very much appreciated! I have a new resident coming in from a long hospital stay (admitted 2/14/22). She was initially diagnosed in the hospital with acute on chronic subdural hemorrhage and multiple facial fractures resulting from a fall off of a...
    • jtrong
    • Thread
    • icd 10 neurosurgery coding primary diagnosis rehab skilled nursing coding snf
    • Replies: 1
    • Forum: ICD-10
  4. emeskina

    Wiki Spinal arthrodesis redo with removal/replacement of interbody graft & instrumentation

    Spinal arthrodesis redo with removal/replacement of interbody graft & instrumentation PROCEDURE PERFORMED: 12/12/18 1. Left-sided L3-4 transforaminal lumbar interbody fusion using local autograft bone and allograft bone extender (Infuse). 2. Left-sided L4-5 transforaminal lumbar interbody...
  5. S

    Wiki Please help!

    I have a neurosurgeon who is using duragen during a Craniotomy. Can the physician charge for this? It was done in an inpatient hospital setting and the code we are being given is Q4100.
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