Wiki separate fusion T3-7 & L2-5

[JLM929]

Need Help!
I have a patient who had 2 separate fusions in the same setting. Fusion T3-T7 and L2-L5. Would you code 22612, 22614 x6 or 22610, 22612, 22614 x5? I am not sure if you can code 22610 & 22612 together on the same claim. i am not finding any information on how to proceed.
Any feedback welcome.
thanks

 

[CANTYC]

I'm assuming 2 separate incisions were done & documented, so I would use the 22612, 22610/59, 22614x5 units. Per CCI the 22610 & 22612 are bundled so you would use the modifier to show the separate site/incision.

 

[JLM929]

Thanks but it was 1 incision.

 

[mhstrauss]

Thanks but it was 1 incision.

I see that this post isn't really current anymore, but I came across this Q&A from Zupko today, and thought it might be helpful for this post. Please see attached link.

http://www.karenzupko.com/resources/codingcoach/cc_neuro.html

 

[JYSPA]

If not mistaken, I read in a Medicare 2014 (recent) article that it can be coded two primary (22610 with 22612) if not are not contiguous and in different regions of the spine, the physician may report one primary code for each non-contiguous region. It's good to make sure so that you don't want to loose reimbursement.

It is a pdf. file at :

http://www.cms.gov/Medicare/Coding/...ndex.html?redirect=/nationalcorrectcodinited/

NCCI Policy Manual for Medicare Services - Effective January 1, 2014 [ZIP, 749KB]

Look at #15 for CPT 20000-29999

 

[taparker]

I had to reread the that; it gave me a scare! I thought I might have been coding these wrong, but this doesn't apply to what we usually do. The majority of the fusions we do like this are contiguous. I will make a note of this for the future though!

 

[mhstrauss]

If not mistaken, I read in a Medicare 2014 (recent) article that it can be coded two primary (22610 with 22612) if not are not contiguous and in different regions of the spine, the physician may report one primary code for each non-contiguous region. It's good to make sure so that you don't want to loose reimbursement.

It is a pdf. file at :

http://www.cms.gov/Medicare/Coding/...ndex.html?redirect=/nationalcorrectcodinited/

NCCI Policy Manual for Medicare Services - Effective January 1, 2014 [ZIP, 749KB]

Look at #15 for CPT 20000-29999

Thanks for the correction!!!

 

[JLM929]

Thank you all for your comments.

 

[sriese]

22610 226214 x5