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Neurosurgery Coding Alert

CCI Quick Update:

X-STOP Bundles Biopsy, Excisions

Published on Fri Jun 06, 2008

The latest national Correct Coding Initiative (CCI), version 14.1, bundles several codes into 0171T (Insertion of posterior spinous process distraction device [including necessary removal of bone or ligament for insertion and imaging guidance], lumbar; single level). Code 0171T relates to placing the new X-STOP (or similar) device "for decompressing spinal stenosis posteriorly through a very small incision," says Bill Mallon, MD, medical director at Triangle Orthopaedic Associates in Durham, N.C. What this means for you: You shouldn't report biopsy codes 20220-20251 with 0171T. If you do, payers following CCI guidelines will deny the biopsy codes. Under the latest edits, payers will also deny 22102 (Partial excision of posterior vertebral component [e.g., spinous process, lamina or facet] for intrinsic bony lesion, single vertebral segment; lumbar) and 22214 (Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; lumbar) with 0171T.
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