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 ...
Jun 1st, 2012
CPT® 2012 revises intraoperative neurophysiologic monitoring code usage for surgery. By Gloria Galloway, MD, FAAN Use of intraoperative neurophysiologic monitoring (IONM) has increased over the last decade due to evidence of its role in reducing or preventing the incidence of paralysis or paraparesis in certain types of surgeries. Changes to CPT® 2012 affect codes used ...
In Audit
Jun 1st, 2012
The Centers for Medicare & Medicaid Services (CMS) has posted on its website the MLN Quarterly Provider Compliance Newsletter for April. The top billing errors for this month, detected by Comprehensive Error Rate Testing (CERT) and recovery auditors, all pertain to inpatient hospitals. Three-day Rule At the top of the list is a CERT finding ...
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...