Neurosurgery and Orthopaedics do a co-surgery of a spinal fusion. Our Neurosurgeon does the decompression and then as co-surgery they do the fusion, and instrumentation with Ortho. For billing, we currently bill the Neurosurgeon the decompression (63001), then the fusion as a co-surgery (22590 mod 62), and not the instrumentation. Ortho bills the fusion as a co-surgery (22590 mod 62) and they also bill the instrumentation (22840). My question is even though the instrumentation can't be billed as a co-surgery, can actually bill the Neurosurgeon as an assistant?
-
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 Neurosurgery and Orthopaedics doing spinal fusion together
- Thread starter pjacobs
- Start date
RebeccaWoodward*
True Blue
According to CMS, 22840 has a payment status indicator of 1 for co-surgery.
Co-surgery 1=Co-surgeons could be paid, though supporting documentation is required to establish the medical necessity of two surgeons for the procedure.
Co-surgery 1=Co-surgeons could be paid, though supporting documentation is required to establish the medical necessity of two surgeons for the procedure.