spine

  1. S

    Wiki Spine fusion coding

    Hello, Can someone help coding this procedure?
  2. J

    Wiki Billing closed treatment of Vertebral Body fractures?

    An orthopedic doctor at my practice is wanting to bill 22310 for vertebral body fractures. This code requires bracing - he is wondering if we can still bill this code if we write the patient a script for a brace instead of doing it in the office ourselves. Note: If we did do it in the office -...
  3. K

    Wiki Spine help please

    WE ARE UNSURE HOW TO CODE THIS SURGERY AND WOULD APPRECIATE ANY HELP YOU CAN OFFER PLEASE. FOR THE OPEN SI FUSION, 27280? WHAT ABOUT THE REMOVAL OF PREVIOUS HARDWARE? SHOULD WE USE 22830 FOR EXPLORATION? I HAVE ONE PERSON SAYING TO USE, "27280, 22830, AND 22853." AND ANOTHER SAYING, "27280...
  4. A

    Wiki Chronic Osteoporosis Fractures

    My osteoporosis specialist will often treat patients who have what he calls "chronic vertebral fractures" caused by osteoporosis. These fractures frequently are very old, but still apparently causing the patient pain. The patient is coming in to receive a Prolia injection and I need an...
  5. D

    Wiki Please help! Neurosurgery

    Our Neurosurgery coder had to be out unexpectedly - I am only confusing myself the more I read! Please help! 1. Left-sided lumbar microlaminectomy and discectomy for HNP - L5-S1 2. Lumbar facet fusion for joint laxity. L5-S1 I believe I am confused on the combo codes - when and when not to use...
  6. K

    Wiki How to determine levels in spine

    I have a physician who documented radio-frequency ablation for "levels L4, L5 and S1." I understood this to be 3 levels and the doctor says this is only 2 levels. I understand her reasoning behind this, but I am wondering about the documentation. I understood the documentation L4/5 and L5/S1 as...
  7. E

    Wiki Entire spine x-rays vs individual codes for c spine, t spine and l spine

    I was wondering if anyone had information regarding billing the entire spine X-ray codes vs billing the individual codes for C-spine, T-spine and L-spine X-rays? Our radiology practice normally codes each body part separate, unless they are performing the scoliosis study. Is there any specified...
  8. L

    Spinal Hardware Removal

    If the surgeon removes fusion hardware at the L4(locking cap, portion of rod, tulip head, and pedicle screw) in a patient with a history of fusion L4 - S1 can we code 22830 for Exploration of Fusion? During the procedure, the surgeon states "The fusion bed at this level appeared to be robust...
  9. K

    Wiki HELP reading anatomy of spine for pain code op note - facet joints & levels for MBB

    HELP reading anatomy of spine for pain code op note - facet joints & levels for MBB I code for ASC and usually my centers are very specific identifying the facet joint spaces in the op reports for ablations and medial branch blocks... I was asked to review work for a coder who has more...
  10. V

    Wiki "L. spondylosis without radiculopathy" and "L. radiculopathy" coded together?

    "L. spondylosis without radiculopathy" and "L. radiculopathy" coded together? I do outpatient coding for a pain center and recently they've realized that certain procedures aren't being covered if the diagnosis includes "...spondylosis with radiculopathy." So the doctor has begun listing the...
  11. R

    Wiki Ortho L5-S1 ADR Coding

    We recently took on a new orthopedic spine surgeon and are having some issues coding. He ordered a L5-S1 Artificial Disk Replacement. I believe the main code is 22857 but I do not know if anything else is normally billed with it. Please help!
  12. 2

    Wiki Radiology coding question

    If we preform a CT of Abdomen & Pelvis with contrast and a CT Lumbar spine with contrast is ordered, the CT abdomen/pelvis is performed and the CT Lumbar images are reformatted from the CT Abd/Pelvis Acquistion; can we charge for the CT Lumbar spine if we have separate reports?
  13. P

    Wiki Compression of spine help

    I am looking for clarification of what or if i can code a diagnosis - compression of t12 and l1 (it will be different locations in the spine). The documenation doesn't say fracture so i am not sure what this is....i was thinking i just don't have enough info however i am seeing this wording all...
  14. A

    Wiki icd-10 melanoma

    How do you code intradural leptomeningeal melanoma of the upper cervical spine? Thanks
  15. D

    Wiki spine coding questin

    dr. billing 22551 23845 22851 20660 20930 77003 - my question is the fluoro code, I don't see where it says it should not be billed, does anyone have any input on this, I am new to spine coding also with a 59 be appropriate for the 77003?
  16. M

    Wiki Evacuation of epidural hematoma, lumbar spine. Wound irrigation and debridement.

    Hello, Not to long ago I started coding Neurosurgery. I was new to it, and I am still learning. I am getting the rejection for procedure below. Please help. DIAGNOSIS: Epidural hematoma, lumbar spine. PROCEDURES: 1. Evacuation of epidural hematoma, lumbar spine. 2. Wound irrigation and...
  17. A

    Wiki Thoracic Spine Trauma ICD-10 code??

    I am a radiology coder so I deal with a lot of trauma and fracture codes. So far I have found everything in ICD-10 except a code for thoracic spine trauma/injury. Not the cord, the bones. In ICD-9 we used 959.19, but they did not make one that was specific for the thoracic spinal bone area. They...
  18. J

    Wiki ???

    I seen this on one of my clinic charts and I'm stump... Chronic Neuropathy from cervical spine Injury w/ lower back pain-previous injury 2010 pt reports screws placed.
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