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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 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
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)
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 Laminectomy - Segment vs. Interspace - AAPC 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 stenosis with bilateral
Spinal Fusion Coding Begins with Successful Approach 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
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
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
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)