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spine coding

  1. #1
    Location
    South Denver
    Posts
    19
    Default spine coding
    Medical Coding Books
    Can someone help me with segments and levels for arthrodesis proc code 22612. The op note states posterior spinal fusion L3-sacrum. Do I code the primary 22612 L3-L4 or is this just L3 and the addons would be 22614 L4, 22614 L5, 22612 S1 or 22614 L4-L5 and 22614 L5-S1?? This code is throwing me off because it says "single level" but I am not sure if I am supposed to be combining

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    See if this helps...

    Example:

    The span T12-L4 contains 5 vertebral segments (T12, L1, L2, L3, L4) BUT only 4 vertebral interspaces (T12-L1, L1-L2, L2-L3, L3-L4)

    If I understand your scenario, you have L3-L4, L4-L5, L5-S1 This equals to:

    22612
    22614
    22614

  3. #3
    Default
    good explanation Rebecca. I like it . I need instructor like you so student can learn fast& not boring

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Thank you Kumeena. I appreciate the kind words.

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