My surgeon wanted to bill 63090 (vertebral corpectomy retroperitoneal approach with decompression of spinal cord) but looking @ these procedures below, I don't think its documented and I told him that billing for this procedure a retroperitoneal approach should be documented then he said that having an anterior lumbar fusion should be part or same approach as the retroperitoneal approach. He wanted to use 63090, 22851, 22558, 22585, 20931 & 22857. Need help please..
Procedures Performed:
1) Stage 1 anterior lumbar interbody fusion L5-S1
2) Anterior lumbar interbody insertion of cage implant L5-S1
3) Anterior lumbar plate instrumentation with screws L5-S1
4) Complete diskectomy decompression L4-5, L5-S1 with decompression of the nerve roots
5) instertion of PRodisc disk arthroplasty L4-5
6) Osteotomy, endplate remodelling, L4 and L5
7) bone graft application including osteocel bone gravft
Procedures Performed:
1) Stage 1 anterior lumbar interbody fusion L5-S1
2) Anterior lumbar interbody insertion of cage implant L5-S1
3) Anterior lumbar plate instrumentation with screws L5-S1
4) Complete diskectomy decompression L4-5, L5-S1 with decompression of the nerve roots
5) instertion of PRodisc disk arthroplasty L4-5
6) Osteotomy, endplate remodelling, L4 and L5
7) bone graft application including osteocel bone gravft