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Wiki code 61783

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vreneemartin@outlook.com

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We billed 22595 along with 61783 and we are getting a denial from insurance stating can't be billed together. Everywhere we have looked (supercoder, CPT book) does not tell us we can't bill these together. The doctor performed posterior c-1 to c-2 lateral mass fusion w/ pedicle screw instrumentation stereotatic navigation and he did an allograft and infused bone morphogenic protein. If I can't use these two codes together can anyone give me a suggestion as to what I can use with the add on code 61783? Help please!!!!
 
Hi there, the add on code that you are using is not compatible with the 22595. This code is an addon for a primary procedure in the 61700 series.
Happy to read a correction if I'm wrong.
 
There is an article in PDF format on the AAPC site.

I've included some of the info.

Cervical CPT Code Description
22590
Arthrodesis, posterior technique, craniocervical (occiput-C2)
22595
Arthrodesis, posterior technique, atlas-axis (C1-C2)
22600
Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment
+22614
each additional segment (List separately in addition to code for primary procedure) There are no add-on codes for 22590 or 22595. If an arthrodesis is performed from the occiput to C3 then report 22590 and 22600
 
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