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 ...
Sep 1st, 2013
Five principles will help you capture appropriate charges for spine surgeries. By Kim Pollock, MS, RN, MBA, CPC “It seems like coding spine cases is as complicated as doing the surgery,” said a spine surgeon at his first coding training session with me. Spine procedure coding can make even the most confident coder squirm. But ...
Jul 1st, 2012
By Ken Camilleis, CPC, CPC-I, CMRS   Add-on code +15777 Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List separately in addition to code for primary procedure) was added to the “Other Flaps and Grafts” category of the Integumentary System, Repair subheading in CPT® 2012 to describe the ...
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...