Wiki Help!!! New to spine coding

[kwinters]

I'm hoping someone can shed some light on this coding scenario for me. I'm fairly new to spine coding, although I've been coding in ortho for 13 years. Here's the scenario:

Posterior Lumbar Decompression & Stabiliztion/fusion:

Fusion @ L2-3
Decompression/lami @ L2-3 & L3-4

What stumps me is when there's no fusion @ L3-4 (only L2-3). I've attached the report too. Any help would be greatly appreciated


Thanks in advance.....

 

[kimmcelderry@gmail.com]

My coding would be: One level of PSF is 22612 with 22842 for the instrumentation (looks like 4 segments). The decompressions, per segment, would be 63047, 63048 x2. Then the auto/allografts 20936/20930 (dont bill to medicare products)