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Bundling - autograft for spine surgery

  1. #1
    Default Bundling - autograft for spine surgery
    Medical Coding Books
    Is CPT 20936, autograft for spine surgery, bundled with CPT 22851, arthrodesis? or can I report them separately?

  2. #2
    Manhattan, NY
    These are both add on codes, and cannot be separated from the primary CPT intended for each.... What is the primary code? If you are unsure, take a look in your CPT book. The primary CPTs for each should be listed.

  3. #3
    The primary procedure is CPT 63030, Laminotomy (hemilaminectomy), with decompression of nerve root(s).

  4. #4
    Manhattan, NY
    Per my software, "Procedure 20936 is an ADD ON code and should never be billed without code(s) 0195T-0195T - 0196T-0196T - 22319-22319 - 22532-22533 - 22548-22551 - 22554-22558 - 22590-22612 - 22630-22630 - 22800-22812." So, apparently, you cannot combine 20936 with 63030 & 22581. Was there something additional that you're trying to bill for? If so, for what services?

  5. #5
    My software states, CPT Add-on code, use 20936 in conjunction with 22319, 22532, 22533, 22548-22558, 22590-22612, 22630, 22800-22812.

  6. #6
    Columbia, MO
    Quote Originally Posted by Cindyev67 View Post
    My software states, CPT Add-on code, use 20936 in conjunction with 22319, 22532, 22533, 22548-22558, 22590-22612, 22630, 22800-22812.
    If you can post your op note it can be better advised

    Debra A. Mitchell, MSPH, CPC-H

  7. Default
    Please post the OR, 20936 and 22851 are codes usually used with fusion codes, 22612,22630, 22633, 22634.

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