Nicole Posted Wed 19th of April, 2017 13:57:44 PM
Doctor did a TLIF from L3-4 (22633) and L5-S1 (22634). He also did a Laminectomy from L4-5: Can I bill the 63047/63048 for these segments or would this be included in the TLIF?
Posterior segmental fusion: L3, L4, L5, S1 (22612/22614x3)- Inclusive with TLIF
SuperCoder Answered Thu 20th of April, 2017 05:17:20 AM
You may bill 63047/63048 for laminectomy at L4-L5; as it was performed on the separate levels other than L3-4 (22633) and L5-S1 (22634).
Also, 22612 is inclusive of 22633 and 22634; hence, the add-on code; i.e. 22614 would also be considered as inclusive.
Arthrodesis code (22612) can only be billed for level L4-L5, where laminectomy was performed, as there are no CCI conflicts between both codes. In order to avoid denial for 22612, your medical documentation should state that arthrodesis was performed at the level of laminectomy.
Therefore, the correct coding as per the given scenario would be 22633, 22634, 22612-59, 63047-59, and 63048.