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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
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
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
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
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:
Arthodesis Decompression (22630, 22632-22634, 63052, 63053) - AAPC prepare the interspace on the same spinal interspace[s]) (For decompression performed on the same interspace[s] as posterior interbody fusion that includes laminectomy, removal of facets, and or opening widening of the foramen for decompression of nerves or spinal components, such as spinal cord, cauda equina, or nerve roots, see 63052, 63053)
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
Technique, Approach Smarts Vital to Coding Spinal Fusion . . . - AAPC Posterior posterolateral: If the surgeon performs a posterior posterolateral spinal fusion, you’ll choose a code from the 22600 (Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment) through +22614 (… each additional interspace (List separately in addition to code for primary procedure)) range
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
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