BRRBRR
Guest
What is the best CPT code to use for a Facet fusion L4-S1? I was guided towards 22612 but the notes clearly say don't use regular fusion codes for a facet fusion
-
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..
Orthopaedic coding question
- Thread starter BRRBRR
- Start date
amyjph
True Blue
This is not a payer covered service in most cases. Examples: https://www.uhcprovider.com/content...edadv-guidelines/c/category-iii-cpt-codes.pdf
www.cms.gov
Article - Billing and Coding: Facet Joint Interventions for Pain Management (A58364)
Use this page to view details for the Local Coverage Article for billing and coding: facet joint interventions for pain management.
www.cms.gov
TThivierge
True Blue
Hi BRRBRR,
Look on pgs. 161 and 167 in CPT manual yr 2022 I d use one of the CPT codes 22849 to 22855. This also depends on how surgery done on stomach or side per surgeon notes. The code 0221T is not the CPT to use. Hope I helped you
Lady T
Look on pgs. 161 and 167 in CPT manual yr 2022 I d use one of the CPT codes 22849 to 22855. This also depends on how surgery done on stomach or side per surgeon notes. The code 0221T is not the CPT to use. Hope I helped you
Lady T
amyjph
True Blue
0221T is in the book, it's a Category III code located toward the back before the Appendices. They are a set of temporary codes for emerging technology. If considered a covered service by the payer, sometimes the payer will accept Category III codes but each payer would have to be checked before using.
22849 and 22855 are not the correct codes. 22849 is for reinsertion of spinal fixation (meaning they remove a fixation device already present from a prior surgery and replace/reinsert it in the exact same location) and 22855 is removal of anterior instrumentation (taking out prior anterior instrumentation). In no way are either of these codes a facet fusion.
There is a CPT Assistant Nov 10:8, Jul 11:18 you may want to reference notated with 0221T as well.
www.njspineandortho.com
22849 and 22855 are not the correct codes. 22849 is for reinsertion of spinal fixation (meaning they remove a fixation device already present from a prior surgery and replace/reinsert it in the exact same location) and 22855 is removal of anterior instrumentation (taking out prior anterior instrumentation). In no way are either of these codes a facet fusion.
There is a CPT Assistant Nov 10:8, Jul 11:18 you may want to reference notated with 0221T as well.
Facet Fusion | Less Invasive Surgical Fusion Alternative at NJ Spine & Ortho
A facet joint fusion is great surgical fusion alternative when injections aren't working. Learn more about facet fusion by scheduling a consultation today.
www.njspineandortho.com
PROCEDURES: RIGHT TOTAL KNEE ARTHROPLASTY (ZIMMER).
1. FEMORAL SIZE-SIZE E; RIGHT.
2. TIBIAL SIZE 6.
3. ARTICULAR SURFACE-SIZE E-RIGHT; 10-MM HEIGHT.
4. TAPER STEM PLUG AND STEM EXTENSION SCREW.
can some help me in this one .do i need to code all 4 or just procedure(RIGHT TOTAL KNEE ARTHROPLASTY (ZIMMER).) cpt code : 27447
1. FEMORAL SIZE-SIZE E; RIGHT.
2. TIBIAL SIZE 6.
3. ARTICULAR SURFACE-SIZE E-RIGHT; 10-MM HEIGHT.
4. TAPER STEM PLUG AND STEM EXTENSION SCREW.
can some help me in this one .do i need to code all 4 or just procedure(RIGHT TOTAL KNEE ARTHROPLASTY (ZIMMER).) cpt code : 27447
hannahevola
Contributor
27447 for total knee arthroplasty is all you need to code
PREOPERATIVE DIAGNOSIS: Chronic methicillin-resistant Staphylococcus aureus infected right total knee replacement arthroplasty.
POSTOPERATIVE DIAGNOSIS: Chronic methicillin-resistant Staphylococcus aureus infected right total knee replacement arthroplasty.
NAME OF PROCEDURE: Irrigation, debridement, washing out with Betadine and drainage of wound.
Icd 10 cm code : B95.62 is for MRSA and Z96.651 is the correct code for it,
and CPT: Do we need to code Irrigation, debridement, washing drainage of wound ?
POSTOPERATIVE DIAGNOSIS: Chronic methicillin-resistant Staphylococcus aureus infected right total knee replacement arthroplasty.
NAME OF PROCEDURE: Irrigation, debridement, washing out with Betadine and drainage of wound.
Icd 10 cm code : B95.62 is for MRSA and Z96.651 is the correct code for it,
and CPT: Do we need to code Irrigation, debridement, washing drainage of wound ?
Last edited: