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- 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)
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