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Thread: Laparoscopic Lumbar Interbody Fusion

  1. #1
    Join Date
    Apr 2007
    Kansas City, Missouri

    Default Laparoscopic Lumbar Interbody Fusion

    AAPC: Back to School
    My physician is planning a Laparoscopic Lumbar Interbody Fusion for a patient. I am providing codes for prior auth on the surgery. I know the actual Arthrodesis and Interbody Device, etc codes, but I'm not sure how to convey that the procedure is being done Laparoscopically rather than open. It is being done at one level for degenerative disc disease and lumbar herniated nucleus pulposus. Do I make the distinction afterwards, when the surgery is coded for submission to insurance? A modifier attached to the Arthrodesis? I'd appreciate your opinions. Thanks!

  2. #2
    Join Date
    Apr 2007
    North Carolina


    Maybe refer to it as an endoscopic approach? Our carriers are usually satisfied with this...

  3. #3
    Join Date
    Apr 2007
    Kansas City, Missouri


    So are you recommending that my physician state the procedure is done endoscopically and submit witht the typical anterior lumbar arthrodesis codes? I appreciate your help.

  4. #4


    I have a Dr that does a reverse shoulder arthroplasy and insurance says they don't care how it's performed, it's a total shoulder. They may look at this the same way, you may want to ask them...
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

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