spinal fusion

  1. jalabergeron

    Wiki Spinal Cord compression with myelopathy; Spinal fusion

    Hi fellow inpatient coders! I would love your thoughts on coding myelopathy for spinal fusion surgeries. Since myelopathy can change the DRG, I wonder how fellow coders would approach coding myelopathy with the way our op notes are dictated (we have tried to get more specific diagnoses but...
  2. kimmcelderry@gmail.com

    Wiki Scoliosis fusion

    The MD documents posterior fusion for scoliosis (pediatric) at T3-T5 and L5-S2. He submitted 2 units of 22800 which I know isn't right. Instrumentation is T3-S2. "Spine was decorticated, bone grafted at T3 through T5 and L5 through S2 with autograft" Is this just one unit of 22800? Thank you
  3. 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...
  4. N

    Wiki Cardiovascular Billing for Spinal Fusion

    We are having an internal debate on what the appropriate codes would be for a cardiovascular surgeon assisting with a spinal fusion. Would the correct code for the procedure below be 37617? The other provider completed the actual instrumentation. PREOPERATIVE DIAGNOSIS: Lumbosacral disk...
    • noellenoble
    • Thread
    • cardiovascular cardiovascular surgeon general surgery coding spinal fusion surgery coding
    • Replies: 9
    • Forum: General Surgery
  5. E

    Wiki spinal fusion HELP PLEASE

    So my Ortho doc performed a L5-S1 spinal fusion, my problem is that he was also a Co Surgeon in the approach, Anterior Retroperitoneal Exposure, and then went on to do the fusion, CPT code 22558. Normaly I would just code this as 22558-62, but that is when the one surgeon does his part, and my...
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