Wiki Spine Surgery Help

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Friendswood, TX
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I am confused because the doctor used 2 different implants on this spine surgery The procedure is as follows:
Laminectomy, Facetectomy and discectomy at L2-L3 coded 63052
Laminectomy, Facetectomy and discectomy at L3-L4 coded 63053

TLIF with VariLift implant at L2-3 (coded as 22633 and 22853 VariLift is a stand alone implant)

Posterolateral fusion with VertaLoc System at L2 to L4 (coded 22612 for the L3-4 level only because the posterolateral fusion would be included in the TLIF for the L2-3 Correct???
For some reason I am thinking that I need to use 22614 as an add'l level instead of 22612 since I am billing primary 22633. Don't think I can have 2 primary codes???

Attempt TLIF at L3-4 do I charge for this in anyway? He states that a trial implant was tried but the hardware was in the way.
Any help would be appreciated
 
You can't bill 22612 with 22633 (read under both 22612 and 22633 in the cpt book).

You also can't code 63053 with 22612. 63052 and 63053 (addl. level) are for decompressive laminectomies done when that level is using an interbody device (22853).

If TWO interbody devices are used (both levels) then you would use 22634 with 22633

Make sure you use encoder pro or some other edit checker to ensure you use the correct modifiers (e.g. 51, XS)
 
You can't bill 22612 with 22633 (read under both 22612 and 22633 in the cpt book).

You also can't code 63053 with 22612. 63052 and 63053 (addl. level) are for decompressive laminectomies done when that level is using an interbody device (22853).

If TWO interbody devices are used (both levels) then you would use 22634 with 22633

Make sure you use encoder pro or some other edit checker to ensure you use the correct modifiers (e.g. 51, XS)
Thank you !
 
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