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Billing 22830 - Exploration of Spinal Fusion

E

emily.verbaere@gmail.com

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Paducah, KY
Does anyone have any information on how CMS defines ''anatomical area" for the spine? CMS guidelines state that 22830 cannot be billed with another spine procedure unless done in a different "anatomical area." I have a provider that states 22830 can be billed with a spinal fusion when done in a different "anatomical segmental area."

An example would be billing 22830-59 for L2-L3 and then the fusion for L4-L5.

We have always coded with the thought that "anatomical area" meant Cervical, Thoracic, Lumbar, etc.
 
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