spine coding

  1. C

    Wiki Thermal ablation

    I need help! I am new to Spine coding. My Physician and I have completely different thoughts on these codes. Can someone please tell me how you would code this procedure? L2-S1 bilateral lumbar facet capsulotomy/transection of accessory spinal nerve with thermal coagulation C-arm...
  2. kimmcelderry@gmail.com

    Wiki 27280 and 22848

    Hi there, my MD wants to bill bilateral SI joint fusion 27280 with PSF and pelvic fixation. He states since the fixation crosses over the SI joint, we can break the bundling of 27280 and 22848. Anyone have info on this?
  3. kimmcelderry@gmail.com

    Wiki vertebral fracture care with graft

    For CPT 22325, the coding companion states to separately report any graft 20930-20938. I've tried to report the grafts, but they are always denied as bundled. Specifically, 20937 is not an add-on to 22325. I'm thinking that despite being able to "report" the graft, it is not payable. Anyone...
  4. F

    Wiki Kypho with percutaneous posterior instrumentation?

    Please help! We have a patient that had a lumbar burst fracture. Doctor did a kyphoplasty and added posterior instrumentation percutaneously (pedicle screws, rod). He wanted to bill 22514 and 22842, but I told him we couldn't add the 22842 to the kypho. I felt that 22514-22 would be more...
    • fltbaroque
    • Thread
    • instrumentation kypho kyphoplasty modifier 22 spine coding
    • Replies: 1
    • Forum: Orthopaedics
  5. S

    Wiki Spine fusion coding

    Hello, Can someone help coding this procedure?
  6. S

    Wiki Help for spine surgery coding needed

    Looking for proper Medicare coding for the following complicated surgery. Please let me know if any of the anticipated codes I put below would be incorrect, bundled, need modifiers, or if there is anything else should be added or replaced with a more appropriate code. Patient has chronic...
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