In Coding
Jul 18th, 2014
If you can master basic terminology and identify within documentation the answer to three key questions, you can accurately apply spinal bone graft codes. 1. Is the Bone Graft from the Patient’s Own Body? Bone harvested from the patient’s own body is known as an “autograft.” For spinal grafts, the applicable autograft codes are: +20936 ...
In Coding
May 1st, 2014
When coding cage placement, you must know the type of device used. By Paula Vandenberg, CPC, CPC-H The intervertebral fusion cage is a hollow device available in many shapes and sizes. The cage may be made from any of several materials, including titanium or, most commonly, polyetheretherketone (PEEK). The surgeon places bone graft material inside ...
Jul 1st, 2012
By G.J. Verhovshek, MA, CPC Category III CPT® codes 0219T-0222T describe a minimally invasive technique for fusion of the spinal facet joints, wherein bone or a device is introduced (percutaneously or by “open” incision) into the facet joint and placement is confirmed using imaging. Discussing these codes, the article “Spine Reimbursement Sees a Major Impact” ...
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...