Nicole Posted Wed 14th of December, 2016 15:10:26 PM
L2-S1 Posterior Instrumentation & Fusion
L2-L5 Revision Laminectomy
The following codes should be billed: 22633 (L2-3), 22842, 22634 (L3-4), 22634 (L4-5), 22851 x3, 77003, 20931.
Laminectomy is included in the TLIF since it was done at the same levels.
My question is regarding the Posterior Segmental Instrumentation & Fusion done at the S1 level. Is there a procedure code that can be billed for this? Since the TLIF only went to the L5 and the Posterior Fusion was done at the S1 level. Would the 22612 be billed out?
SuperCoder Answered Thu 15th of December, 2016 01:23:39 AM
Yes, posterior fusion performed at S1 level should be billed separately as per the given scenario. Also, please check your payer preference for the same. Thank you.