AAPC - Back to school
Results 1 to 2 of 2

Thread: "Obtaining anterior exposure"

  1. #1

    Default "Obtaining anterior exposure"

    AAPC: Back to School
    Can anyone help?

    Procedure performed:
    Exposure of the L4, L5, S1, vertebral bodies using an anterior transperitoneal approach.

    I can send the op note.

    My general surgeons are only opening up this patient for the neurosurgeon and I really have no idea how to code this! Any help??

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Possibly Co-surgery - 62 modifier

    When our general surgeons open for Orthopaedics or another service, the surgery is billed using the code for the procedure with -62 modifier on each surgeon's bill (Co-surgery). Each surgeon dictates his/her own operative note listing the other surgeon as co-surgeon, and detailing his/her participation in the case.

    E.g. an Anterior spinal fusion (lumbar), where general surgery does the opening/closing
    Billed as 22558-62 for Orthopaedic surgeon
    Billed as 22558-62 for General surgeon

    The instrumentation, etc codes are applied ONLY to the Ortho (or Neuro) surgeon

    You must use the same procedure code that the Ortho or Neuro surgeon is using, so you'll need to check with that surgeon's coding staff to verify the code.

    F Tessa Bartels, CPC

Similar Threads

  1. Reporting "No Tobacco Exposure" for ICD10
    By HarmanyB23 in forum Pediatrics
    Replies: 2
    Last Post: 03-23-2015, 06:49 PM
  2. Points for "obtaining history"
    By mhstrauss in forum E/M
    Replies: 4
    Last Post: 12-05-2013, 01:21 PM
  3. Definition of "surgical exposure"
    By skorkfranks in forum Orthopaedics
    Replies: 0
    Last Post: 07-28-2011, 06:55 AM
  4. Credit for "obtaining history from someone other than patient"
    By Barbara Burgess in forum Auditing General Discussion
    Replies: 4
    Last Post: 01-08-2010, 08:34 AM
  5. Need help coding an "exposure" for back surgery
    By Nhennigan in forum General Surgery
    Replies: 1
    Last Post: 12-18-2008, 02:53 PM

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?


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.