May 1st, 2010
By LuAnn Jenkins, CPMA, CPC, CEMC, CFPC In 1992, the “global surgery” concept was introduced under the Resource Based Relative Value Unit System (RBRVS) and payment policy. Medicare adopted this method to control costs and to pay providers based on the value of services provided before, during, and after surgical procedures. Many commercial payers also ...
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...