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63075 vs 22551

Super Posted Mon 02nd of May, 2011 15:46:43 PM

The doctor did not get paid by Medicare for instrumentation '22845', when using 22551. How else can it be coded to get paid for instrumentation?
Next patient, we billed Medicare '63075', '22554', '22845' and '22851'. All codes were paid except '22554'. Are we ok to continue using ''63075', '22845' and '22851'? So '22554' is now bundled into '63075' ?
What is the accurate way to code these procedure? Thank you. Barbara

SuperCoder Answered Mon 02nd of May, 2011 21:54:13 PM

The 2011 guideline instructions for CPT codes 63075 and 22554 instruct the surgeon to not report the two codes together when both procedures are performed at the same site and the same level during the same session.

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