Results 1 to 5 of 5

22808 vs 22810

  1. Default 22808 vs 22810
    Medical Coding Books
    I am billing for a General Surgeon who is a co-surgeon to an Orthopedic surgeon. Orthopedic billing is something new to me. The surgery in question is an Anterior Spinal Fusion T6-T9. I know that CPT code 22808 is for 2-3 vetrebral segments and 22810 is for 4-7 segments. I know what code I want to bill for but there is some difference of opinions. My understanding of the codes is that you need to consider the amount of segments not the disc spaces. If you have expertise on this subject could you please give me some feedback? Thanks

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Check with the Ortho Surgeon
    Check with the Ortho Surgeon's office.

    You will BOTH need to use the exact same codes with -62 modifier. Except you will NOT code for the instrumentation, while the Ortho surgeon will. From your limited description I think you'll be using 22810.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by lsherman317 View Post
    I am billing for a General Surgeon who is a co-surgeon to an Orthopedic surgeon. Orthopedic billing is something new to me. The surgery in question is an Anterior Spinal Fusion T6-T9. I know that CPT code 22808 is for 2-3 vetrebral segments and 22810 is for 4-7 segments. I know what code I want to bill for but there is some difference of opinions. My understanding of the codes is that you need to consider the amount of segments not the disc spaces. If you have expertise on this subject could you please give me some feedback? Thanks
    Two segments equate to one fused level

    Segments: T6, T7, T8, T9 (4)

    T6-T9= T6-T7, T7-T8, T8-T9-You would report 22808 for your case.
    Last edited by RebeccaWoodward*; 04-12-2010 at 01:21 PM.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Segments vs Levels
    Not my area of expertise, but ...

    CPT descriptions for 22800 thrugh 22819 specifically state SEGMENTS (not levels). And since 22808 starts with "2 to 3 segments" clearly they mean for you to count the segments not the interspace.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Location
    North Carolina
    Posts
    3,126
    Default
    In arthrodesis, the correct CPT code is based on the number of segments fused (2 segments =1 fused level). For example, if the surgeon dictates anterior fusion of T2-T5 (three segments—T2-T3, T3-T4, T4-T5), code 22808 would be reported. If fusion involved four segments (T2-T6) with an anterior approach, the appropriate code is 22810. If the dictation reflects anterior fusion of T2-T10 (eight segments—T2-T3, T3-T4, T4-T5, T5-T6, T6-T7, T7-T8, T8-T9, T9-T10), the appropriate code is 22812.

    http://www.karenzupko.com/downloads/...es_AAOSNow.pdf

    The posters example is nearly exact to this article

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?

Login

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.