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Laminectomy code - What is the most appropriate code

  1. #1
    Default Laminectomy code - What is the most appropriate code
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    What is the most appropriate code for the anesthesiologist for a laminectomy with a harrington rod insertion?

    Not my forte at all....

  2. #2
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    Default
    For the laminectomy, I would begin looking at the 63001---series. For the harrington rod, look at 22840.

    You mentioned anesthesiologist so I'm not sure if you need an anesthesia code...

  3. #3
    Smile
    Looking for the anesthesia codes, not surgical.
    Ali Coleman ~ CFE, CPC, CEMC
    Defense Health Agency
    TRICARE/Department of Defense
    Health Care Fraud Specialist

  4. Default
    00670 is for procedures using instrumentation.

  5. Smile HCPCS code for Spinal Instrumentation for 22840-22842 CPT
    Could anyone advise --if there is one--a HCPCS supply code for the
    posterior segmental or non-segmental instrumentation (e.g. spinal rods like Harrington rod) ?
    Most hospitals have this information on the chargemaster, but I am working for a facility that has coders bill for the supplies that are normally
    included for inpatient procedures on the chargemaster.

    Thank you much
    Sherry

  6. Default Spacers
    I am wondering if you can use the 00670 when disk spacers are used??? Are the spacers concidered to be instrumentation???

  7. Default
    Quote Originally Posted by amecey View Post
    I am wondering if you can use the 00670 when disk spacers are used??? Are the spacers concidered to be instrumentation???
    What is the CPT code, that will help determine. Was more than one vertebral segment operated on?

    According to the ASA crosswalk "Code 00670 is appropriate if the procedure is performed with spinal instrumentation, on multiple vertebral levels, or with an add-on code indicating multi-level procedures."

    It's important you get it right because 00670 has 13 base units as opposed to 00630

  8. Default Disk Spacers
    Not sure of the CPT code just wondering if the spacer itself is concidered to be instrumentation. I use them a lot and I want the 00670 if I canget it for those procedures because it is worth more.

  9. #9
    Default Laminectomy and Harrington for Anesthesia
    So, to summarize, if you have CPT 63001 (laminectomy) + 22840 (insertion of Harrington rods) the only anesthesia code needed is a 00670?

  10. Default
    Hi,
    For Laminectomy with Harrington rod use anesthesia code 00670(Instrumentation).you can use 63001 0r 63005 , 22840 with 00670 cross.
    Regards,
    Nalini CPC

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