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Wiki Neurosurgery Post Spinous Process Device

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katic23

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Per the AANS, they recommend coding the Aspen Posterior Spinous Process Device with a 22841 and say it is not a stand alone type of instrumentation. When pedicle screws are also placed and I would normally code a 22840 for a one level, do I need to append a modifier to one or the other (22840 & 22841)?
 
I haven't had an issue billing instrumentation codes without a modifier; except for 22851. I just had a huge surgery involving these two exact codes. I did not add modifiers; however, that's not to say that the carrier won't be fussy and need records after the fact.
 
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Wow, that was quick! Thanks for the info about your experience. I am just going to see how it goes with this one.
 
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