To my fellow coders,
My physician performed a wide cervical laminectomy at c3 to c6. (63015) with posterolateral fusion with lateral mass screws. (22600, 22614 x 3). He removed the spinous process which was later mixed with demineralized bone matrix and used in a bone graft. (20930). He applied posterolateral screws at c3, c4, c5, & c6. Then he placed rods on the screws. I coded 22842 (3 to 6 vertebral segments). My questions is do that code represent the screws and rods or should I pick up 22842 x 2 to represent the rods separately?
Also when coding for bone graft if spinous process from lamina and a aspirated bone marrow from the iliac crest is used, what is the correct way to code this? (20937 & 38220)
Thanks for your feedback
My physician performed a wide cervical laminectomy at c3 to c6. (63015) with posterolateral fusion with lateral mass screws. (22600, 22614 x 3). He removed the spinous process which was later mixed with demineralized bone matrix and used in a bone graft. (20930). He applied posterolateral screws at c3, c4, c5, & c6. Then he placed rods on the screws. I coded 22842 (3 to 6 vertebral segments). My questions is do that code represent the screws and rods or should I pick up 22842 x 2 to represent the rods separately?
Also when coding for bone graft if spinous process from lamina and a aspirated bone marrow from the iliac crest is used, what is the correct way to code this? (20937 & 38220)
Thanks for your feedback