AAPC - Back to school
Results 1 to 2 of 2

Thread: Repeat posterolateral fusion lumbar

  1. #1

    Default Repeat posterolateral fusion lumbar

    AAPC: Back to School
    Pt had a posterolateral fusion 10/08 on L4-5. On 6/24, part of the op note reads "I then completed the posterolateral fusion down to L5 by exploring fusion at L4-5 posterolateral fusion, which was somewhat scant in parts, removing as much soft tissue in the fusion mass as possible, decorticating and then placing bone graft material out over the decorticated tranverse processes of the L4, L3, and L5 including the remaining fusion mass at L4-5. Thus a 360 fusion was performed at L3-4 and the 360 fusion was completed at L4-5 as well, although the pedicle screw construct was not extended down to the L5 level since that level appeared to be reasonably well fused.

    Is this a repeat fusion at L4-5 or am I over-reading this? And if it is a repeat, do I use code 22612-76?
    Ann Marie CPC
    New Britain, CT

  2. #2


    This is difficult to follow. However, I am thinking it is a repeat fusion. I would use code 22612 but I would leave off the modifier since it is out of the global period.

    Mary, CPC

Similar Threads

  1. Combined posterolateral/posterior fusion...
    By Orthosports in forum Orthopaedics
    Replies: 2
    Last Post: 06-28-2015, 08:04 PM
  2. Combined posterolateral/posterior fusion
    By Orthosports in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 06-19-2015, 07:50 PM
  3. posterolateral fusion & interbody graft
    By tss07 in forum Medicare Regulations
    Replies: 1
    Last Post: 04-19-2013, 06:42 PM
  4. posterolateral fusion extension
    By casadelowe in forum Compliance General Discussion
    Replies: 3
    Last Post: 12-13-2011, 01:48 PM
  5. help coding w/lumbar fusion new @ these..
    By RHENZ06ily in forum General Surgery
    Replies: 0
    Last Post: 09-29-2011, 12:28 PM

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.