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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
  • 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
  • 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
  • Member’s Tip: Pain-free Coding of Morton’s Neuroma - AAPC
    A Morton’s neuroma is a benign growth on nerve tissue that occurs in the nerve of your foot, often between the third and fourth toes, although it also may occur at the second toe interspace Symptoms can range from burning, numbness, and tingling, to sharp pains in the sole of your foot A Morton’s neuroma can develop from tight fitting shoes, injuries, and other pressuring irritants
  • Reporting Insertion of Spinal Biomechanical Device(s) - AAPC
    Reporting Insertion of Spinal Biomechanical Device(s) The Current Procedural Terminology (CPT®) code 22851, Application of intervertebral biomechanical devices(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (List separately in addition to code for primary procedure) was identified by the Centers for Medicare Medicaid Services (CMS) in the July 1, 2008
  • 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)




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