Wiki 22612 and 22633 billed together

[sdunaway1]

We billed 22633 and 22612 out done at the same date of surgery but on different levels. There is a CCI edit in place that is creating these two codes to bundle even w a modifier. We have changed the code 22612 to 22614 but it has a much lower RVU. Has anyone else dealt with this situation and know of a different code or workaround to get the full RVU for the second level? 22899???

Thank you for your help,
Stephanie

 

[sarab86]

There is no work around. Per AANS and CPT you are to bill 22614 for a additional level posterolateral fusion to 22633.

 

[sdunaway1]

Thank you!