Here is the scenero, the pt previously underwent an ACDF in Jan 2011 in a different city than which we are located. He recovered from that Sx, but then fell and had similiar symptoms that returned and required a re-do of the Sx at our center. (long story short)
PROCEDURES PERFORMED:
1. Redo anterior cervical diskectomy C5-6 and C6-7 with decompression of spinal cord and nerve roots.
2. Anterior cervical arthrodesis with PEEK graft filled with DBM C5-6 and C6-7.
3. Anterior cervical plating with Abbott Spine Zimmer plating from C5-7.
4. Removal of prior plate, screws, PEEK graft
4. Microscopic dissection.
5. Intraoperative fluoroscopy.
My question is should I code using the modifier -77 as follows:
22551 - 77
22552 - 77
22849
22851
22851 - 59
20930
Any input would be GREATLY appreciated!!
PROCEDURES PERFORMED:
1. Redo anterior cervical diskectomy C5-6 and C6-7 with decompression of spinal cord and nerve roots.
2. Anterior cervical arthrodesis with PEEK graft filled with DBM C5-6 and C6-7.
3. Anterior cervical plating with Abbott Spine Zimmer plating from C5-7.
4. Removal of prior plate, screws, PEEK graft
4. Microscopic dissection.
5. Intraoperative fluoroscopy.
My question is should I code using the modifier -77 as follows:
22551 - 77
22552 - 77
22849
22851
22851 - 59
20930
Any input would be GREATLY appreciated!!