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Growing Rod

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default Growing Rod
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    Has anyone heard of a spinal surgery for "growing rod"? One of my Dr's need a CPT code for it and I'm not all that familiar with. Any assistance would be appreciated.

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Original surgery or expanding?
    Our pediatric ortho spine coder is out on vacation this week ... I can get more info next week.

    BUT ...

    If you are talking about the original fusion w/ instrumentation I think you would use the appropriate segmental instrumentation code, depending on posterior/anterior and number of vertebral segments.

    If you are talking about removal of the hardware, that is 22852 or 22855 (depending on if it's posterior or anterior).

    If you are talking about the adjustment to allow the rod (and the patient) to "grow" ... I think this is the unlisted code 22899, but I'm not 100% certain.

    Also ... if the surgeon is really talking about VEPTR (Vertical Expandable Prosthetic Titantium Rib) which is an expandable rod that will "grow" with the child ... those are a completely different set of codes.

    If you don't get a more definitive answer by next week, I'll ask Nancy, our pediatric spine surgery coding guru.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 10-05-2009 at 02:35 PM.

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Tessa-VEPTR was the first thing I thought - a surgery he does. But I will question as to exctly what they're doing. Thanks.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Nancy confirms
    Our pediatric spine coder is back and she confirms what I previously posted.

    For the expansion of the growth rod she uses 22899 and titles it "Expansion of spinal growth rod" She uses V54.02 for Diagnosis.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Thank you...greatly appreciated.

  6. #6
    Default
    Quote Originally Posted by FTessaBartels View Post
    Our pediatric spine coder is back and she confirms what I previously posted.

    For the expansion of the growth rod she uses 22899 and titles it "Expansion of spinal growth rod" She uses V54.02 for Diagnosis.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    ______________________________

    Hi Tessa, Is your MD getting paid as reported?
    LAG.CPC

  7. Default Appeal letter for growing rod lengthening
    Does anyone have a standard letter that is submitted to insurance when billing for a growing rod lengthening (22899)?

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