tci Outpatient Facility Coding Alert - 2013 Issue 6

You Be the Coder: Check This Code for Intervertebral Disc Biopsy

Question: Which code should we use for intervertebral disc biopsy for discitis? I’m considering 20220, 62267 or 62269. Any assistance would be greatly appreciated. Louisiana Subscriber Answer: Your best choice is 62267 (Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes). If the physician used fluoroscopic guidance, also report 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural or subarachnoid]). Also include the appropriate diagnosis from 722.9x (Other and unspecified disc disorder) for the discitis. The codes in this family...

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