Understand the procedures and approaches for better coding of operative reports. There are different surgical approaches for spinal fusion. When coding arthrodesis, you must be sure to match the approach on the surgical report to the CPT® code description. Let’s review arthrodesis treatments for spinal conditions and then look at a case study showing why ...
In Billing
Oct 29th, 2010
Mona Kaul, chief coding and compliance officer of GENASCIS, which provides revenue cycle services and supporting technologies for surgery centers, discusses the following six ways ambulatory surgery centers (ASCs) can better avoid denied claims on spine procedures, as seen in Becker’s ASC Review. 1. Physicians must dictate all necessary information. When dictating, physicians should describe the ...
Mar 1st, 2009
Part 2 in spinal series By G. John Verhovshek, MA, CPC Spinal fusion involves multiple steps beyond those described by arthrodesis codes 22532-22632, including bone grafting (20930-20938) and instrumentation placement (22840-22851). For complete coding, you should report these additional procedures separately. When extensive decompression accompanies arthrodesis, you may report the procedures ind...
Dec 1st, 2008
By G.J. Verhovshek, MA, CPC, director of Clinical Coding Communication To report spinal arthrodesis accurately, coders must distinguish among the various approach procedures the surgeon may select. Broadly speaking, these approaches fall into three categories: anterior, posterior, and lateral. Anterior Approaches During an anterior approach, the surgeon places the patient supine (lying face up) and...
Apr 1st, 2007
By Tammye Harber, CPC, CPC-H Senior Healthcare Consultant Ellis Medical Consulting Inc. Webster’s dictionary defines the term partial as “relating to, being or affecting only a part; not total; incomplete.” Webster’s also defines the term complete as “having all necessary or normal parts, components, or steps; entire; absolute; total.” How do these terms — partial and complete — apply to us, specif...