Neurosurgery and Orthopaedics do a co-surgery of a spinal fusion. Our Neurosurgeon does the decompression and then as co-surgery they do the fusion, and instrumentation with Ortho. For billing, we currently bill the Neurosurgeon the decompression (63001), then the fusion as a co-surgery (22590 mod 62), and not the instrumentation. Ortho bills the fusion as a co-surgery (22590 mod 62) and they also bill the instrumentation (22840). My question is even though the instrumentation can't be billed as a co-surgery, can actually bill the Neurosurgeon as an assistant?
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Neurosurgery and Orthopaedics doing spinal fusion together
- Thread starter pjacobs
- Start date
RebeccaWoodward*
True Blue
- Messages
- 3,125
- Location
- Archdale, NC
According to CMS, 22840 has a payment status indicator of 1 for co-surgery.
Co-surgery 1=Co-surgeons could be paid, though supporting documentation is required to establish the medical necessity of two surgeons for the procedure.
Co-surgery 1=Co-surgeons could be paid, though supporting documentation is required to establish the medical necessity of two surgeons for the procedure.