Nicole Posted Tue 17th of January, 2017 08:46:30 AM
The doctor removed a screw at the L5. He then did a left-sided Foraminotomy to ensure there was no damage to the nerve root. Because of the weakness the screw was left out on the left side and rods were replaced and connected for the L4-S1.
I cannot bill for the L5 screw removal, since the rods placed go through that location, correct?
Would this be CPT codes: 22849 (for the rod placement) and 63030 w/ mod -52, since only a foraminotomy was done?
SuperCoder Answered Wed 18th of January, 2017 03:59:10 AM
Greetings from SuperCoder.com!
Yes, you are correct, you cannot bill screw removal. You should report codes 22849 (for the rod placement) and 63030 w/ mod -52, since only a foraminotomy was done. Please attach supporting documents to avoid any denial.
Please feel free to write if you have any concern or questions.