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Removal Instrumentation

  1. #1
    Default Removal Instrumentation
    Medical Coding Books
    Any feedback would be greatly appreciated...

    Operation Performed:
    L2-L3-L4 Decompression
    Removal L4-L5 instrumentation

    My physician billed 63047, 63048 X 2 and 22852

    The 22852 (instrumention removal) is bundling with 63047. Is it appropriate to add a 59 modifier?

    Thank You.

  2. Default
    Yes, as long as it is a different vertebral level. You need to mark that in the "narrative" section of the claim.

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