Hello,
We cannot get insurances to pay for 22830 when 22852 is billed. Please read the attached op note and advise me how this should be billed. Thank you in advance! Also, Can I bill 22852-LT, 22852-59-RT, or only 1x. I just want to make sure I am getting this.
Procedures: Exploration of spinal fusion
Removal of hardware throught 2 seperate fascial incisions.
Two incisions were made on either side of the back, neck, through subq tissue and fascia. The fascia lie was stripped and the top of the screws were identified. With the retractors placed, I was able to identify each screw and thre was bundle bone to get around the rod. The screws were removed. The rod was removed and each screw was removed, first from the left side. Another incision was made. Knife dissection was taken down, subq tissue and the fascia lie. The fascia was also identified and split. Each screw was dissected out and then bolts were removed, rod was removed. The fusion appeared to be solid on that side as well. With that, each wound was copiously irrigated. I was able to dissect around the bone, appeared to be no significant depression. Deep fascia then approached first on the right, the on the left.
We cannot get insurances to pay for 22830 when 22852 is billed. Please read the attached op note and advise me how this should be billed. Thank you in advance! Also, Can I bill 22852-LT, 22852-59-RT, or only 1x. I just want to make sure I am getting this.
Procedures: Exploration of spinal fusion
Removal of hardware throught 2 seperate fascial incisions.
Two incisions were made on either side of the back, neck, through subq tissue and fascia. The fascia lie was stripped and the top of the screws were identified. With the retractors placed, I was able to identify each screw and thre was bundle bone to get around the rod. The screws were removed. The rod was removed and each screw was removed, first from the left side. Another incision was made. Knife dissection was taken down, subq tissue and the fascia lie. The fascia was also identified and split. Each screw was dissected out and then bolts were removed, rod was removed. The fusion appeared to be solid on that side as well. With that, each wound was copiously irrigated. I was able to dissect around the bone, appeared to be no significant depression. Deep fascia then approached first on the right, the on the left.