I need some help with coding for a TLIF procedure. The Procedures are:
1. Removal of segmental spinal instrumentation
2. Exploration of previous spinal fusion with identification of pseudoarthrosis.
3. Insertion of segmental spinal instrumentation (L1, L2, L3 and L4).
4. Use of intraoperative fluoroscopy for placing pedicle screws.
5. Decompression bilateral facetectomies and farminotomies (L1-L2).
6. Transforaminal lumbar interbody fusion at L1-L2.
7. Insertion of PEEK cage L1-L2.
8. Posterolateral spinal fusion L1-L4.
9. Use of local bone, bone morphogenic protein, and demineralized bone matrix for anteroposterior spinal fusion.
My confusion is with the new codes of 22633/22644. Do the new codes replace 22612/22630, so we should bill 22633 and 22634 (x2), or do we bill 22633 and 22614 x 2, or none of the above
In addition, the surgeon feels he should be able to bill 63056. I have gotten conflicting information on this, so if anyone has anything in writing to support or not support, I would really appreciate it !!
1. Removal of segmental spinal instrumentation
2. Exploration of previous spinal fusion with identification of pseudoarthrosis.
3. Insertion of segmental spinal instrumentation (L1, L2, L3 and L4).
4. Use of intraoperative fluoroscopy for placing pedicle screws.
5. Decompression bilateral facetectomies and farminotomies (L1-L2).
6. Transforaminal lumbar interbody fusion at L1-L2.
7. Insertion of PEEK cage L1-L2.
8. Posterolateral spinal fusion L1-L4.
9. Use of local bone, bone morphogenic protein, and demineralized bone matrix for anteroposterior spinal fusion.
My confusion is with the new codes of 22633/22644. Do the new codes replace 22612/22630, so we should bill 22633 and 22634 (x2), or do we bill 22633 and 22614 x 2, or none of the above
In addition, the surgeon feels he should be able to bill 63056. I have gotten conflicting information on this, so if anyone has anything in writing to support or not support, I would really appreciate it !!