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Veptr

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default Veptr
    Medical Coding Books
    Has anyone ever hrard of a VEPTR device to treat scoliosis? My doc put down instrumentation code (which was an add-oncode) by itself. Never heard of it.

    Any ifno would be appreciated...

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Yes...vertical expandable prosthetic titanium rib....But, there isn't a CPT code for this. At least...not to my knowledge.

  3. #3
    Location
    Long Island/New York
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    1,271
    Default
    THANK YOU. I GUESS I'LL USE AN UNLISTED CODE.....

  4. Default
    I am in San Antonio, Tx where VEPTR device was first implanted. We have been using the unlisted code with various charges. If you need more info let me know.

  5. #5
    Location
    Long Island/New York
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    Default
    Quote Originally Posted by lzcoder View Post
    I am in San Antonio, Tx where VEPTR device was first implanted. We have been using the unlisted code with various charges. If you need more info let me know.
    Thank you...I was thinking of using unlisted code 22899 (unlisted - spine) but am not sure what CPT/RVU to compare?

    Seems like a bone graft/instrumentation combo...not sure though.

    Thanks...

  6. Default
    We've been using 32999 and getting reimbursed. Just make sure you submit Operative Reports with your claim. Most insurances now reimbursement without incident but of course some do require appeals.

  7. #7
    Location
    Long Island/New York
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    Default
    Quote Originally Posted by lzcoder View Post
    We've been using 32999 and getting reimbursed. Just make sure you submit Operative Reports with your claim. Most insurances now reimbursement without incident but of course some do require appeals.
    What CPT code would you use to compare RVU's? Do you have a hard time getting these paid?

    Thanks...

  8. #8
    Location
    Milwaukee WI
    Posts
    4,466
    Default Depends
    For INITIAL surgery (first implanting the VEPTR device)
    Rib-to-rib -or- Rib-to-pelvis -- CPT 22189 Unlisted thoracic (price based on 22840)

    Rib-to-spine -- CPT 22899 Unlisted spinal (price based on 22842)

    IF performed - also code 21600 Excision of rib, partial

    For BILATERAL procedure, bill on two lines with RT and 59/LT modifiers


    EXPANSION surgery
    CPT 21899 Unlisted procedure thorax (price based on 22849)

    EXCHANGE surgery (without new segments)
    Use unlisted codes as for initial placement (price based on 22849)

    EXCHANGE surgery - rib-to-rib changed for rib-to-spine OR rib-to-pelvis
    CPT 22899 unlisted procedure, spine (price based on 22849 -22)

    MODIFIERS used
    -62 if general or thoracic surgeon is performing part of procedure
    -RT and -59/LT if bilateral

    I got this from our Pediatric Ortho coder. Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 05-26-2009 at 01:55 PM.

  9. #9
    Location
    Long Island/New York
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    THANK YOU TESSA- UNFORTUNATELY MY DR DOESN'T WANT TO USE THE UNLISTED CODE....NONE OF MY DR'S DO...DON'T KNOW WHY I EVEN MENTIONED IT!!!

  10. #10
    Location
    Milwaukee WI
    Posts
    4,466
    Default You have a battle
    I feel your pain - our ortho docs HATE unlisted codes!

    Still, There is NO code for this procedure. You can't use the spinal instrumentation codes because:
    1) they're not attaching anything to the spine (most of the time)
    and
    2) the instrumentation codes are add-ons and you need to have the spinal fusion code first.

    Maybe you should try to get some printed info from Christus Santa Rosa Orthopedics (where the VEPTR procedure was developed) and other leading instutions on this. That's what we did when we started doing it.

    Good luck.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 05-28-2009 at 02:08 PM.

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