Results 1 to 3 of 3

Any luck billing 22612/bilat?(spine fusion)

  1. #1
    Question Any luck billing 22612/bilat?(spine fusion)
    Medical Coding Books
    Hi, all:

    Having trouble with spine fusions, my doc feels he should be reimbursed for CPT code 22612, 22614 and 22840 performed bilat on left and right sides of the spine without a separate incision, any one have this issue and know how to get it paid? I know you can not bill it with mod 50, lt/rt or 51, do you think I should try mod 22 and document?


  2. #2
    Wouldn't it be unusual to fuse just one side? It's my understanding that the fusion procedures are not to be billed bilaterally. I believe that's why Medicare doesn't allow the bilateral modifier or RT-LT. Also, our spine surgeon never tries to bill bilaterally and he certainly would if he thought he could. Hope this helps. Sorry I don't have anything really official.

  3. #3
    Smile thnks
    thnks for the response, it helped clarify the issue with my doc.

Similar Threads

  1. Fusion 22612 & 22633
    By in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 10-15-2015, 11:20 AM
  2. Spine fusion help
    By kparkhurst in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 01-14-2014, 01:47 PM
  3. Fusion, is it a 22612 or 22633
    By mmce in forum Orthopaedics
    Replies: 1
    Last Post: 08-13-2013, 11:32 AM
  4. 2012 spine fusion/ updated errata
    By moodymom in forum Orthopaedics
    Replies: 3
    Last Post: 03-08-2012, 11:39 AM
  5. Spine Fusion
    By thice in forum Orthopaedics
    Replies: 4
    Last Post: 12-07-2011, 02:37 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.