1. Shawn Srishan
   Member
   Posted 9 months ago #
   

   Insurance Company claims that Afthrodesis includes '22851' as an element, and since cannot be billed seperately in the following procedures described in the operatingreport: Posterior segmental spinal instrumentation T10 – S1; bilateral pelvic instrumentation, transforaminal lumbar interbody fusion L3-L4, L4-L5, and L5-S1 with intervertebral devises x3; Posterior posterolateral arthrodesis T10-T11, T11-T12, T12-L1, L1-L2 through L2-L3, L3-L-4, L4-L5, L5-S1 with local autograft and morselized allograft, three large BMP kits.

   Is the Insurance company correct?

2. boby brown
   Member
   Posted 9 months ago #
   

   In this scenario do you mean to say that for Bone Morphogenetic Protein (BMP)the insurance is denying CPT code 22851. As for BMP (bone morphogenetic proteins), you should not report 22851 for this service. BMP is a special growth factor for the induction of new bone formation. Surgeons mix this product with allograft or autograft bone used during fusion, for instance.
   I would suggest CPT code 20931 for BMP. If not then do let me know. Good luck!!

3. Anna Martinez
   Member
   Posted 8 months ago #
   

   Actually, BMP is coded as 20930 and if your using 22851 as a implant device such as a cage or PEEK spacer, then our using 22851 correctly.

RSS feed for this topic

Reply

You must log in to post.