• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

"Obtaining anterior exposure"

ARCPC9491

True Blue
Messages
700
Location
Stafford, VA
Best answers
0
Can anyone help?:confused:

Procedure performed:
Exposure of the L4, L5, S1, vertebral bodies using an anterior transperitoneal approach.

I can send the op note.

My general surgeons are only opening up this patient for the neurosurgeon and I really have no idea how to code this! Any help??:confused:
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Possibly Co-surgery - 62 modifier

When our general surgeons open for Orthopaedics or another service, the surgery is billed using the code for the procedure with -62 modifier on each surgeon's bill (Co-surgery). Each surgeon dictates his/her own operative note listing the other surgeon as co-surgeon, and detailing his/her participation in the case.

E.g. an Anterior spinal fusion (lumbar), where general surgery does the opening/closing
Billed as 22558-62 for Orthopaedic surgeon
Billed as 22558-62 for General surgeon

The instrumentation, etc codes are applied ONLY to the Ortho (or Neuro) surgeon

You must use the same procedure code that the Ortho or Neuro surgeon is using, so you'll need to check with that surgeon's coding staff to verify the code.

F Tessa Bartels, CPC
 
Top