Wiki 22612

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nyyankees

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would it be appropriate to add a 59 modifier to 22610 to show that it is separately identifiable from 22612? I say no but others think otherwise.

It is the thoracic and lumbar sections of the spine but I'm not sure if this is right:

thanks...:confused:
 
even though we did a thoracic AND lumbar fusion? We did add the additional level add-on code (which got paid)...but Medicare bundled 22610 with 22612. It's documented that the Dr did a thoracic and lumbar fusion but they still bundled it.

They want to add 59 modifier but I'm not sure..Thanks.
 
rebeccawoodward said:
typically, if the arthrodesis crosses over both the thoracic and lumbar regions, you can only report one primary arthrodesis code. Anyone else?
Click to expand...

that's what i thought. But when i spoke to the medicare general help line they said to send it through and see what happens. The a/r dept here loves to use modifiers (especially 59) to help get things paid. I keep telling them to be careful...

This was my thinking but i'm glad you had the same thought process. Thanks.:d
 
RE:

I code for this procedure all the time- and I go with 22612(lumbar) and 22614(addt) covering thoracic and lumbar levels. The RVU for 22610 is lower- so probably why it bundled with the 22612. Hope this helps!!
 
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