tci Part B Insider - 2007 Issue 20

NEUROSURGERY: Put A Stop To X-Stop Denials With Communication

Don't bill 22855 and 22845 unless you can prove they're separateHeads up: Some Medicare carriers may try to deny your claims for cutting edge neurosurgeries. Problem #1: Many carriers still are refusing to cover the x-stop procedure, which gained two category III codes this year: 171T (...single level) and 172T (...each additional level). These carriers view the x-stop as experimental and unproven. Approved by the Food & Drug Administration in late 2005, the x-stop is a titanium implant that fits between the spinous processes of the lumbar spine to relieve symptoms of spinal stenosis.Note: New codes...

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