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Is it appropriate to code 22325 along with spinal deformity arthrodesis codes during the same encounter. According to the following source, it's not appropriate. I would appreciate any input.
Neurosurgery Coding Alert
Reader Questions: Include Spondylolisthesis Reduction in Definitive Procedure
- Published on Mon, Jun 20, 2005
Question: Which CPT code should we report when the surgeon performs a reduction of spondylolisthesis during a lumbar procedure? He usually documents this when he performs a fusion, instrumentation insertion or laminectomy with decompression.
Florida Subscriber
Answer: Unfortunately, you cannot separately report the spondylolisthesis reduction that the surgeon performed during the lumbar procedures.
Most insurers would consider the spondylolisthesis incidental to the main procedure (the fusion, instrumentation insertion or laminectomy).
The payer would most likely reason that the spondylolisthesis is automatically "reduced" when the surgeon inserts the rods, and you therefore cannot separately collect for the reduction. Put another way, no surgeon would fixate vertebrae in a misaligned condition, so the lumbar procedure is not "complete" without the reduction.
- Clinical and coding expertise for You Be the Coder and Reader Questions provided by Eric Sandhusen, CHC, CPC, director of compliance for the Columbia University department of surgery.
Neurosurgery Coding Alert
Reader Questions: Include Spondylolisthesis Reduction in Definitive Procedure
- Published on Mon, Jun 20, 2005
Question: Which CPT code should we report when the surgeon performs a reduction of spondylolisthesis during a lumbar procedure? He usually documents this when he performs a fusion, instrumentation insertion or laminectomy with decompression.
Florida Subscriber
Answer: Unfortunately, you cannot separately report the spondylolisthesis reduction that the surgeon performed during the lumbar procedures.
Most insurers would consider the spondylolisthesis incidental to the main procedure (the fusion, instrumentation insertion or laminectomy).
The payer would most likely reason that the spondylolisthesis is automatically "reduced" when the surgeon inserts the rods, and you therefore cannot separately collect for the reduction. Put another way, no surgeon would fixate vertebrae in a misaligned condition, so the lumbar procedure is not "complete" without the reduction.
- Clinical and coding expertise for You Be the Coder and Reader Questions provided by Eric Sandhusen, CHC, CPC, director of compliance for the Columbia University department of surgery.