Segment vs Interspace | Medical Billing and Coding Forum - AAPC
2011年3月23日 · For a laminectomy, you would count per interspace as they are removing the lamina in between each segment. In this case, L4-L5 would count as one interspace. And (yes Frosty) the CPT code description tells us whether we count segments or interspaces. For example 63045-63047, states "segment" therefore L4-L5 would be two segments = 63047, 63048.
Spine Surgery Quandary: Posterior Lumbar Interbody Fusion
2016年6月1日 · Do not append modifier 59 to 63047 on a Medicare claim when the decompression and interbody fusion were performed at the same interspace (e.g., L4-L5). Table 1 shows examples of the arthrodesis and decompression codes for procedures performed at the same interspace for Medicare and non-Medicare payers. Table 1:
Wiki Laminectomy - Segment vs. Interspace - AAPC
2011年10月14日 · I am being trained on spine surgery coding and I'm not sure I agree with what my trainer is telling me about a certain code. Patient had L3-4, L4-5, L5-S1 laminectomy with L3, L4, L5, S1 bilateral foraminotomies and decompression of neural elements. Diagnosis is …
Wiki 2nd Interspace decompression - AAPC
2018年2月28日 · Hello, I am trying to find the best code for a decompression of the deep transverse ligament at the 2nd metatarsal interspace. The provider did not remove a neuroma just released the deep transverse ligament. I have researched and keep coming across codes for 64704, 28080, and 29999. I hesitate...
Realign Your Spinal Coding Skills - AAPC Knowledge Center
2018年11月2日 · In particular, +22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure) and 22849 Reinsertion of spinal fixation device can cause ...
Straighten Out Your Spinal Coding With These Pointers : Anatomy
2020年6月10日 · Separate Segment, Interspace Definitions. Anderanin also stressed that coders need solid knowledge of the differences between vertebral segments and vertebral interspaces. Without this info, coding spinal surgeries isn’t going to be easy. Vertebral segment: This term describes the basic parts into which the spine is divided. The word ...
The cage and interspace are filled with bone graft. (Note that arthrodesis and/or bone grafting would be reported separately using the appropriate code[s]). The exposed disc space and adjacent vertebrae are prepared with bone-cutting instruments for acceptance of the biomechanical device.
Spine Surgery Coding Made Simple - AAPC Knowledge Center
2013年9月1日 · Decompression occurs at the interspace for discectomy codes (e.g., right L4-L5 interspace). Discectomy is a single, standalone code, such as 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar.
22634 each additional interspace and segment (List separately in addition to code for primary procedure) (Use 22634 in conjunction with 22633) (Do not report 22633, 22634 in conjunction with 63030, 63040, 63042, 63047, 63052, 63053, 63056 for laminectomy performed to prepare the interspace on the same spinal interspace[s])
Spinal Fusion Coding Begins with Successful Approach
2008年12月1日 · For each additional interspace the surgeon treats beyond the first, claim add-on code +22632 Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional interspace (List separately in addition to code for primary procedure). For ...