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Resection Meningioma w/ Lami & Posterior Instrumentation and Fusion

Nicole Posted Fri 25th of May, 2018 02:09:17 AM
Do the codes look correct for the following procedure: C6-T2 Posterior segmental instrumentation fusion (22610/22614x3), C6-T2 Laminectomy, foraminotomy and facetectomy (63045/63048x3), C7-T1 laminectomy, microdissection and resection of a intradural extramedullary meningioma (63280). Therefore it would be: 22610, 22614x3, 63045, 63048x1, 63280
SuperCoder Answered Tue 29th of May, 2018 03:29:04 AM

Hi Nicole,

Please find our answers in BOLD below each of your question.

Do the codes look correct for the following procedure:

C6-T2 Posterior segmental instrumentation fusion (22610/22614x3).

Ans: Code 22610 is only for Thoracic level. You need to report code for Cervical level too. So report the following:

Report 22600 once for level C6-C7

Report 22614 once for additional level C7-T1)

Report 22610-59 once for level T1-T2)

 

C6-T2 Laminectomy, foraminotomy and facetectomy (63045/63048x3)

Ans: There is CCI edit between codes 63045 and 63280. Code 63045 is a column 2 code for 63280. Code 63045 cannot be reported for C7-T1. You should report 63045 for segment C6 and 63046 for T2.

C7-T1 laminectomy, microdissection and resection of a intradural extramedullary meningioma (63280).

Ans: Code 63280 should be reported once for level C7-T1.

Therefore it would be: 22610, 22614x3, 63045, 63048x1, 63280

Please feel free to write if you have any question.

Thanks.

 

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