sharonc2222
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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 back pain, failed back syndrome and adjacent segment disease. Patient was scheduled for TLIF with exploration and also has an existing implanted intrathecal pump. Perhaps someone has access to a program that you can put in the codes and it will you. Greatly appreciate it!
1. Exploration of prior instrumented fusion at L2-L3 (22830)
2. Removal and re-implantation of spinal hardware (22852 & 22849)
3. Revision of intrathecal catheter with laminectomy (62351)
4. Interrogation of intrathecal pump (62367)
5. T11-S1 Posterolateral arthrodesis (T11-T12 22610, T12-L1 22614, L1-L2 22633, L2-S1 22614 x 4) using autograft and allograft (20930. & 20936)
6. Left L1 Osteotomy to decompress left L1 nerve root and correct kyphosis (22214)
7. Right L1 Laminectomy and discectomy, interbody mechanical device placement to decompress right L1 nerve root and correct kyphosis (22633 & 22853)
8. T11 to S1 segmental instrumentation (22843)
9. L5-S1 laminectomy (63005 & 22612)
10. Fluoroscopic guidance, computer navigation (77011, 77003 & 61783).
Patient has chronic back pain, failed back syndrome and adjacent segment disease. Patient was scheduled for TLIF with exploration and also has an existing implanted intrathecal pump. Perhaps someone has access to a program that you can put in the codes and it will you. Greatly appreciate it!
1. Exploration of prior instrumented fusion at L2-L3 (22830)
2. Removal and re-implantation of spinal hardware (22852 & 22849)
3. Revision of intrathecal catheter with laminectomy (62351)
4. Interrogation of intrathecal pump (62367)
5. T11-S1 Posterolateral arthrodesis (T11-T12 22610, T12-L1 22614, L1-L2 22633, L2-S1 22614 x 4) using autograft and allograft (20930. & 20936)
6. Left L1 Osteotomy to decompress left L1 nerve root and correct kyphosis (22214)
7. Right L1 Laminectomy and discectomy, interbody mechanical device placement to decompress right L1 nerve root and correct kyphosis (22633 & 22853)
8. T11 to S1 segmental instrumentation (22843)
9. L5-S1 laminectomy (63005 & 22612)
10. Fluoroscopic guidance, computer navigation (77011, 77003 & 61783).