PLEASE help with prior authorization request

sdunaway1

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Authorization request is for :

T9 to pelvis posterior segmental instrumentation, arthrodesis, deformity correction, and spinal-pelvic fixation with autograft ; L4-5 TLIF - interbody fusion specifically for this portion of the fusion. With several osteotomies



Authorization request is for :



T9 to pelvis posterior segmental instrumentation, arthrodesis, deformity correction, and spinal-pelvic fixation with autograft ; L4-5 TLIF - interbody fusion specifically for this portion of the fusion. With several osteotomies. The diagnosis is for scoliosis , deformity


I am coding this out as :



22802

22843

20936



22633 – unsure on this code – concerned that we are not capturing the correct code for level L4-5 due to interbody fusion but, it is also being done for scoliosis- which would be a deformity code

22853

63047- unsure on this code – does this need to be coded separately or is it already coded in 22802?



22206 or 22207 depending if it is lumbar or thoracic – he has not stated this

22208
 
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