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Thread: dx codes to support a 360 plif fusion

  1. #1
    Join Date
    Apr 2007
    Posts
    15

    Default dx codes to support a 360 plif fusion

    Hello, I have a neurosurgeon that performs a ton of these 360 plif spinal fusions with decompression of the nerve roots. I am trying to code the decompression with a modifier 59 to cover the foraminotomies required to free the nerve roots. Does anybody have any insight as to which dx codes are necessary to support this as it is normally bundled with an interbody fusion?

  2. #2
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,128

    Default

    We've performed these for degenerative disc disease, spinal stenosis, spondylolisthesis, etc...

    What does the documentation state?

  3. #3
    Join Date
    Apr 2007
    Posts
    15

    Default 360 plif fusion

    Thanks for the response. I feel good with the Stenosis and Spondylosis dx codes but I was concerned that the DDD might not be enough. I also have an OP report where the surgeon is only stating intractable lumbar pain due to a previous MVA. I am concerned that these claims could be rejected since the dx does not really address the compression element. BTW - I am new to this practice and so I am trying to gain as much knowledge in Neurosurgery as possible. Do you know of any good resource websites? Any information would be greatly appreciated.

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