22015

CPT^® 22015, Under Incision Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22015 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Spine (Vertebral Column).

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Summary

The provider incises and drains an abscess, or pocket of infection, in the deep tissues at the back of the lower spinal column to relieve pain and pressure.

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View matching HCPCS Level II codes and their definitions.

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I & D of of previous microdiskectomy with removal of disk material

Our neurosurgeon has a patient that has a wound seroma -status post previous right sided microdiskectomy for L5-S1. He goes in to the previous incision and did a I& D but while in there he noticed a r... [ Read More ]

Aspiration seroma lumbar spine lumbar seroma

This one has me stumped. Patient has seroma of lumbar spine. Procedure is percutaneous aspiration and drain placement. Note reads: "A needle was placed in the seroma under live fluoroscopy. A small am... [ Read More ]

CPT help-Evacuation of a hematoma

11043 is mainly used for wound care and I don't think it fits this situation well. It's a little hard to tell from the report where the physician is working anatomically but if this is an epidural he... [ Read More ]

CPT help-Evacuation of a hematoma

I'm not sure what to use for this procedure: Patient underwent L3-4 posterior fusion two weeks ago and presented with a large compressive epidural hematoma at the L3-4 level. I made an incision ove... [ Read More ]

Incision and Drainage coding help needed

Hi! I am fairly new to spine coding, but I think this would more than likely fall into the category of CPT 22015. Hope this can give you a little insight or guidance in the right direction. Let me kn... [ Read More ]

Re-exploration CPT 63042

Hello! I am questioning the correct billing for a pt that presented with a lumbar spine wound infection s/p previous lumbar decompressive surgery. The provider wants to bill CPT 22015 (Incision and ... [ Read More ]

Lumbar I&D?

I agree with Thomas. It's interesting that the physician specifically states that the deep layers were healing nicely, but then wants to bill for a deep layer procedure and he did not do anything with... [ Read More ]

Lumbar I&D?

I would agree that 22015 is not supported if this is all that is documented. There is no incision or closure documented, so 97605 (or 97607 depending on the type of wound vac) is the only code I see ... [ Read More ]

Lumbar I&D?

Surgeon wants to bill 22015, lumbar incision & drainage, open of deep abscess lumbar. Patient is s/p laminectomy & fusion. Op note states "Inspection of the incision was performed. There was evidence ... [ Read More ]

Lumbar I&D w/placement of VAC dressing?

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