tci Medicare Compliance & Reimbursement - 2006 Issue 23

CODING: New Edit Could Cost You $1,500 Per Surgery

Spine surgeons stiffen their backbones in opposition to bundle.Watch out: A new Correct Coding Initiative edit could make life more difficult if your surgeon performs two common spine procedures together. The edit: CCI Version 12.1 bundles 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace [other than for decompression], single interspace; lumbar) into 22612 (Arthrodesis, posterior or posterolateral technique, single level; lumbar [with or without lateral transverse technique]). Code 22630 (often reported for a posterior lumbar interbody fusion (PLIF)) pays upwards of $1,500. Surgeons Stand Up In Opposition “I am vehemently against...

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