-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki 00630 vs 00670
- Thread starter chase0702
- Start date
gost
Guru
00630 is appropriate for a lumbar microdiscectomy unless the documentation supports the extensive procedure requirement for code 00670. For this procedure that usually means instrumentation was used or multiple levels were operated on. Unfortunately, there is no concrete definitio of "extensive." Whatever the reason for using 00670, make sure the documentation backs it up.
00630 vs -00670
I have to agree with "gost". 00670 is reserved for instrumentation or multiple levels. We ask our docs to provide the documentation to support using 00670 What we normally see in the documentation is Lumbar Lami @ L4/5, L5/S1 (this would constitute multiple levels= 00670). Or we see Lumbar Lami with Instrumentation (this also qualifies for 00670). If we only see Lumbar Lami @ l5/S1 it is straight on 00630. If there is any doubt, we request the operative report. Our auditor has told us that anything more than one level is extensive spinal surgery.
I have to agree with "gost". 00670 is reserved for instrumentation or multiple levels. We ask our docs to provide the documentation to support using 00670 What we normally see in the documentation is Lumbar Lami @ L4/5, L5/S1 (this would constitute multiple levels= 00670). Or we see Lumbar Lami with Instrumentation (this also qualifies for 00670). If we only see Lumbar Lami @ l5/S1 it is straight on 00630. If there is any doubt, we request the operative report. Our auditor has told us that anything more than one level is extensive spinal surgery.