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Two times cervical plates billing

SuperCoder Posted Tue 22nd of September, 2009 09:02:18 AM

Our orthopedic surgeon placed two different cervical plates at different spinal levels on a patient’s spine. Can I bill +22845 twice with modifier 59 attached?

Annette Answered Tue 29th of September, 2009 02:05:31 AM

how many segments did each plate cover?

SuperCoder Answered Thu 01st of October, 2009 16:36:38 PM

If the orthopedic surgeon uses two separate plates on different spinal levels, you can report +22845 twice. You should append modifier 59 to the second listing of +22845.

In some cases, you may have to submit your surgeon’s documentation to demonstrate that he used two separate plates. Because +22845’s descriptor refers to “2 to 3 vertebral segments,” insurers may suspect that your practice erroneously reported two units of +22845 when the surgeon placed a plate that spanned two segments. But you should report this code twice only if the surgeon actually places two separate plates.

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