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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
Wiki - 2nd Interspace decompression | Medical Billing and Coding . . . - 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
Realign Your Spinal Coding Skills - AAPC Knowledge Center Here is what you need to know to avoid obsolete coding practices Over the past few years, CPT® coding for spinal surgical procedures has changed Over the past few years, CPT® coding for spinal surgical procedures has changed significantly Have you kept pace? Double-check to make sure
Spine Surgery Quandary: Posterior Lumbar Interbody Fusion Although Medicare guidelines disallow modifier 59 when decompression and fusion are performed at the same interspace, it may be used when the procedures are performed at different interspaces For example, a combined posterior lumbar interbody fusion and posterolateral fusion at L5-S1, with an adjacent posterolateral fusion at L4-L5, with decompression at both L5-S1 and L4-L5, may be reported
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)
Straighten Out Your Spinal Coding With These Pointers : Anatomy - AAPC Remember the difference between vertebral segment, interspace During her HEALTHCON 2020 presentation “Spinal Surgery Update 2020,” Lynn M Anderanin, CPC, CPPM, CPC-I, CPMA, COSC, breaks down the basics of spinal anatomy coding, lending some context to the sometimes confusing terms that characterize this tricky part of the body
Arthodesis Decompression (22630, 22632-22634, 63052, 63053) - AAPC Arthrodesis 22630 Arthrodesis, posterior interbody technique, including laminectomy and or discectomy to prepare interspace (other than for decompression), single interspace; lumbar (Do not report 22630 in conjunction with 22612 for the same interspace and segment, use 22633) 22632 each additional interspace (List separately in addition to code for primary procedure)
Spinal Fusion Coding Begins with Successful Approach - AAPC 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)
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