Spine Surgery Coding Made Simple - AAPC Knowledge Center 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
Segment vs Interspace | Medical Billing and Coding Forum - AAPC 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
Arthodesis Decompression (22630, 22632-22634, 63052, 63053) - AAPC 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])
Spine Surgery Quandary: Posterior Lumbar Interbody Fusion 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:
Straighten Out Your Spinal Coding With These Pointers : Anatomy - AAPC 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
Reporting Insertion of Spinal Biomechanical Device(s) - AAPC 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
Realign Your Spinal Coding Skills - AAPC Knowledge Center 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
Code Spinal instrumentation in 4 steps - AAPC Knowledge Center Report placement of non-segmental posterior instrumentation using +22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation (List separately in addition to code for primary procedure)
Wiki 2nd Interspace decompression - AAPC 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
Wiki Confused about spinal levels segments - AAPC The space between two vertebral bodies is called the intervertebral space, or interspace, and contains an intervertebral disc These discs are made of an outer fibrocartilage ring that surrounds the nucleus pulposus, a gelatinous substance The disc acts as a shock absorber between the vertebrae as they move