• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki coding help - extension fusion

Create Wiki
G

gjenkins1224

Guest
Messages
4
Best answers
0
please help!!! i have a minimally invasive PLIF L4-5 w/cages, screws & extension fusion L5-S1;PLIF removal of instrumentation L5 & S1 w auto graft; marrowaspirate copious and a exploration of the fusion L5-S1.

My coding 22633, 22830/59, 22855/51, 22851x2, 63056/59, 38220x2,20936
am i missing something or am I over coding?
 
Hope this helps.

I don't see enough here to code for the 63056. Code 38220 hits CCI edits with 22633, and 22851. I would not use 38220. You only have a cage being placed at L4-5 and 22551 this is counted by interspace not vertebral segment so I would only code for that one time. Also I have questions about using 22855 as he is reinstrumenting, you can't bill removal of hardware if he is replacing this at the same level. (Per CPT Expert Addition). Since I don't have the entire op-note I couldn't say for sure on 22855.
 
You must log in or register to reply here.
Top