arthrodesis

  1. K

    Wiki 38232 vs 20900

    We are trying to determine whether to use 38232 or 20900 for bone marrow aspirate used for first metarsophalangeal joint arthrodesis. The podiatry coder thinks we should use 38232 because the podiatrist did not state that they used a bone graft, but my understanding is that the bone marrow...
  2. R

    Wiki NSurg 22614

    I have a provider who did an arthrodesis from T11-pelvis. He noted in his op note "T11-T12, T12-L1, L1-L2, L2-L3, L3-L4, L4-L5, L5-S1, and S1 pelvis". When I asked him how far he went down into the pelvis (sacrum) he told me that he went to the pelvic crest (iliac crest) and that it adds on...
  3. H

    Wiki Arthrodesis 4th metatarsophalangeal joint?

    Provider performed a fusion (with a metal plate) on the 4th MTPJ and I can only find a code when the fusion is performed on the 1st MTPJ (great toe 28750). Can anyone direct me as to what would be used for the 4th? Provider performed a partial phalangectomy and fusion of the 4th MTPJ. Thank...
  4. P

    Wiki Transforaminal interbody fusion combined with posterior fusion at thoracic levels

    Our surgeon performed a posterior fusion from T5-T12 and also performed transforaminal interbody fusion at T8-9 and T9-10. For the lumbar spine, if posterior and TLIF are performed at the same level, we would use the combination code 22633. But I don't know what to use for thoracic. Can...
  5. D

    Wiki triple arthrodesis w/ tibiotalar and fibulotalar fusion vs. Mutiple midtarsal fusion with tibiotalar, and fibulotalar fusion

    I have some questions on how to approach a recent revision that my podiatrist performed. Below is a breakdown of what was performed. Please note that this is a revision procedure and hardware was removed (20680). Ankle fusion -K-wire fixation of the subtalar joint (anterior approach) that...
  6. K

    Wiki Instrumentation with spinal fusion

    Procedure: Anterior cervical discectomy & Fusion C5 Anterior discectomy for decompression w/fusion C6-7 Placement of biomechanical interbody device C5-6 Placement of biomechanical interbody device C6-7 Anterior Cervical instrumentation...
  7. C

    Wiki Posterolateral arthrodesis and open laminectomy

    Hello, I am very new to neurosurgery and came across an op report that is confusing me. I have attached the report. So far I have 63001 and 63003. Any help or guidance with be very much appreciated. Thank you!
  8. J

    Wiki new to spinal coding - arthrodesis question

    Hello everyone, Could you please help me? I am trying to precertify an upcoming surgery and want to make sure that I have the correct codes. He is doing posterior/ posterolateral technique arthrodesis from L2 all the way to the ilium. Would this be 22612 for the first then 22614 for the 3...
  9. M

    Wiki Question re: fusion with osteotomy codes

    Patient is having a lumbar pedicle subtraction osteotomy and fusion to correct the abnormality and spinal alignment. Why does it state in CPT under the Osteotomy header, "To report arthrodesis, see codes 22590-22632. (Report in addition to code[s] for the definitive procedure with modifier...
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