Sep 6th, 2019
Part 1: Proper payment starts with understanding lumbar spinal fusion anatomy and procedures to better code them in the facility setting. Spinal fusion (arthrodesis) procedures are performed every day around the world. Coding spinal fusion in an outpatient or ambulatory surgery center (ASC) setting with CPT® is an entirely different animal than in the inpatient ...
Feb 3rd, 2014
In a decision memo released Jan. 9, the Centers for Medicare & Medicaid Services (CMS) announced its national coverage determination for percutaneous image-guided lumbar decompression (PILD) for lumbar spinal stenosis (LSS). PILD for LSS remains a non-covered service for Medicare beneficiaries. However, CMS will cover the procedure for Medicare patients with LSS when performed in ...
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” ...
Apr 1st, 2012
Part 1: Make room for the latest in CPT® coding. By Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, and G.J. Verhovshek, MA, CPC CPT® 2012 brings important changes to pain management coding. In the first of this two-part series, we’ll: Review the revised coding guidelines for sacroiliac (SI) joint injection. Clarify the methodology ...
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...