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spine coding

  1. #1
    South Denver
    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
    North Carolina
    See if this helps...


    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:


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

  4. #4
    North Carolina
    Thank you Kumeena. I appreciate the kind words.

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