Wiki Spinal Instrumentation Codes

lewisbr

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Hi fellow coders, I wanted to know if there are any other coders having the same trouble I am having with Medicare with getting codes 22840-22848 codes set paid by Medicare when they are billed with the proper primary procedure code. Example, we sometimes perform 22551 ( Arthrodesis, anterior interbody fusion along with 22845,80) My physician does a lot of co-surgeon work with a neuro surgeon but when we are the assist we bill the 80 on 22845, and Medicare never pays we always have to appeal for payment, when CPT clearly states 22845 must be billed with a primary code. Does anyone else have this trouble? or there any suggestions on how to resolve this issue with Medicare? thanks for your input.
 
22845 is an add-on code only. It must be charged out with the 22551. Therefore, you must also charge 22551 with a modifier 80 as well.
 
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