spine surgery

  1. L

    Wiki Recoupment on 22633 if minimally invasive technique is used?

    Does anyone have any guidance on this situation? I am relatively new to spinal surgical coding and cannot find any guidance that indicates that a minimally invasive technique should be coded differently from the open? But we've received a couple post review recoupments saying that 22633 does not...
  2. S

    Wiki Spine fusion coding

    Hello, Can someone help coding this procedure?
  3. P

    Wiki Transforaminal interbody fusion combined with posterior fusion at thoracic levels

    Our surgeon performed a posterior fusion from T5-T12 and also performed transforaminal interbody fusion at T8-9 and T9-10. For the lumbar spine, if posterior and TLIF are performed at the same level, we would use the combination code 22633. But I don't know what to use for thoracic. Can...
  4. K

    Wiki HELP! using modifier 62 and 80 on the same claim and getting denials

    Can anyone give feedback or help me find documentation on billing co-surgeon and assist on the same claim. In Appendix A of the AMA CPT book, modifier 62 states if a co-surgeon acts as an assistant in the performance of additional procedures, other than those reported with modifier 62, during...
  5. K

    Wiki Spine help please

    WE ARE UNSURE HOW TO CODE THIS SURGERY AND WOULD APPRECIATE ANY HELP YOU CAN OFFER PLEASE. FOR THE OPEN SI FUSION, 27280? WHAT ABOUT THE REMOVAL OF PREVIOUS HARDWARE? SHOULD WE USE 22830 FOR EXPLORATION? I HAVE ONE PERSON SAYING TO USE, "27280, 22830, AND 22853." AND ANOTHER SAYING, "27280...
  6. D

    Wiki Help....need cpt code for interspinous spacer device removal

    Need help on a cpt code, please. My doctor removed a interspinous spacer device from L4-L5 that was placed in 2015 by an outside doctor/facility. While he was in there he went ahead and did a revision decompression at L4-L5 also. He wants to bill out the 22850 for removal of the interspinous...
  7. M

    Wiki Help with coding a cervical case

    I am needing help with coding the following case. This was all done at the same time. Stage 1: C4-C5, C5-C6, C6-C7 anterior cervical discectomy, left sided approach C4-C5, C5-C6, C6-C7 arthrodesis with insertion of interbody fusion devices C4-C7 anterior segmental fusion with instrumentation...
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