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Which modifier???

  1. Question Which modifier???
    Medical Coding Books
    Here is the scenero, the pt previously underwent an ACDF in Jan 2011 in a different city than which we are located. He recovered from that Sx, but then fell and had similiar symptoms that returned and required a re-do of the Sx at our center. (long story short)

    1. Redo anterior cervical diskectomy C5-6 and C6-7 with decompression of spinal cord and nerve roots.
    2. Anterior cervical arthrodesis with PEEK graft filled with DBM C5-6 and C6-7.
    3. Anterior cervical plating with Abbott Spine Zimmer plating from C5-7.
    4. Removal of prior plate, screws, PEEK graft
    4. Microscopic dissection.
    5. Intraoperative fluoroscopy.

    My question is should I code using the modifier -77 as follows:

    22551 - 77
    22552 - 77
    22851 - 59

    Any input would be GREATLY appreciated!!

  2. #2
    A modifier may not be needed unless you know the dx and procedure codes the other physician used. The payor may ask for op report before paying.

    Good luck

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