AAPC - Back to school
Results 1 to 4 of 4

Thread: Spinal questions RVU order

  1. #1

    Default Spinal questions RVU order

    AAPC: Back to School
    I recently attended a spinal webinar by Zimmer. They stated that you should always put the add-on codes directly after their primary codes when posting; even though RVU order will not be accurate when posting multiple charges. An example is 63075, 63076, 22554, 22585, 22845, 22851. Normally, if you go stricly by RVU order it would look like this: 63075, 22554, 22845, 22851, 22585, 63076. Do you all agree with the webinar?

    Another thing that they taught was that when using 22851 you SHOULD NOT charge by units. They want you to utilize modifier 59. Agree?

    Now just a general question....if the doctor does anterior auto. iliac crest bone grafting at interspaces C4-5, C5-6 and C6-7 do I charge 20938 just once because it was only 1 incision made to harvest the graft?

    Thanks so much for your help!

  2. #2
    Join Date
    Apr 2007
    North Carolina


    1-yes...Many of my carriers will deny the "add on" codes if they aren't billed concurrently with the primary codes.
    2-yes...most of my carriers will not pay, otherwise.
    3-yes...CPT codes 20930 -20938 may each be reported during the same operative session but each code may only be reported one time

  3. #3


    Thanks so much!

  4. #4
    Join Date
    Apr 2007
    Long Island/New York

    Thumbs up

    Interesting on the 22851. I would always use units not 59 mod's. Thanks for the input.....always appreciated!! :d

Similar Threads

  1. RVU order
    By ccatron in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-06-2014, 08:06 AM
  2. HELP! Carotid angio 1st order/2nd order
    By csorensen21@yahoo.com in forum Interventional Radiology
    Replies: 2
    Last Post: 04-21-2014, 01:58 PM
  3. Rvu..how do you read the rvu schedule
    By bscott in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-12-2012, 04:45 PM
  4. RVU order when doing charge entry
    By DebbiePottsEngland in forum Dermatology
    Replies: 5
    Last Post: 10-10-2011, 09:10 AM
  5. Coding in RVU order
    By coder16 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-04-2007, 06:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.