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How do we bill a 2 level TLIF when a second incision was made for screws?

Sandra Posted Fri 21st of September, 2012 14:37:04 PM

Do we bill 22633 w/ 22634 or 22630 w/22632?

SuperCoder Answered Fri 21st of September, 2012 21:59:19 PM

Transforaminal lumbar interbody fusion, or TLIF, is a variation of the PLIF procedure. “The TLIF technique involves approaching the spine in a similar manner as the PLIF approach, but more laterally from the side of the spinal canal through a midline incision in the patient’s back,”

TLIF may reduce the amount of muscle dissection and may minimize the manipulation necessary for the surgeon to reach the vertebrae, discs, and nerves. TLIF allows the surgeon to use endoscopic techniques for spinal fusion that generally are less traumatic to the spine.

Code it: As with PLIF, you’ll report 22630 for TLIF and add +22632 when needed. Your instrumentation choices also remain the same because you’re still coding for a posterior approach.

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