Wiki Neurosurgery billing dilema

[Tonyj]

Coding assistance needed.

Procedure performed 11/10
1) 22558, Under Anterior or Anterolateral Approach Technique Arthrodesis Procedures on the Spine (Vertebral Column)
2) +22585, Under Anterior or Anterolateral Approach Technique Arthrodesis Procedures on the Spine (Vertebral Column)
3) +22851, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column) and 22851-59 (L2/3 and L3/4)

Procedure performed 11/11
1) + 22842, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column); with modifier -58 “staged or related procedure or service by the same physician during the post-operative period.”

Here lies the problem;
I can’t clear the edits because the add on code, 22842 is billed alone on the next day. My suggestions are to bill both dates of service on (1) claim form with the distinction of different dates of service or bill 22558 again with (No Charge) on the following date of service, followed by 22842.

Any advice would be greatly appreciated.
Thanks
Tonyj

 

[TBAUSLEY]

Hello,
I notice on the 11/11 posterior procedure was performed. Was any others details documented? Reduction, decompression, etc.
Can you provide the report details for 11/11?


TawanaB.

 

[TBAUSLEY]

Hello,
Will need to unlisted CPT22899 for posterior instrumentation placement only.

I wouldn't use CPT 22558 without charge, inappropriate coding for the case.


TawanaB,CPC