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Wiki Kypho with percutaneous posterior instrumentation?

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fltbaroque

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Longview, TX
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Please help!
We have a patient that had a lumbar burst fracture. Doctor did a kyphoplasty and added posterior instrumentation percutaneously (pedicle screws, rod). He wanted to bill 22514 and 22842, but I told him we couldn't add the 22842 to the kypho. I felt that 22514-22 would be more appropriate. Now, he wants to add ORIF code 22325 and 22842 (22325 bundles with 22514). It was clearly a percutaneous procedure, so I'm not sure what direction to go with this.
Any thoughts?
 
0
22842 would be for three-6 vertebrae and is an add on code and 22514 isn't one of them
does he make any incision even small through fascia?
 
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