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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
    Location
    Manhattan, NY
    Posts
    390
    Default
    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
    Default
    The primary procedure is CPT 63030, Laminotomy (hemilaminectomy), with decompression of nerve root(s).

  4. #4
    Location
    Manhattan, NY
    Posts
    390
    Default
    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
    Default
    My software states, CPT Add-on code, use 20936 in conjunction with 22319, 22532, 22533, 22548-22558, 22590-22612, 22630, 22800-22812.

  6. #6
    Location
    Columbia, MO
    Posts
    12,531
    Default
    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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