tci Part B Insider - 2006 Issue 8

ORTHOPEDIC: Know Your Spinal Infusion Reimbursement Rights

Key: Append modifier 51 to removal/reinsertion codesIf you think you can't bill instrumentation removal during repeat infusions, think again. Here's the skinny on which removal/insertion codes you can use with 22830.Scenario: Your surgeon places segmental instrumentation during a spinal infusion, but one year later, the patient returns complaining of severe low back pain, and the surgeon suspects pseudoarthrosis.The surgeon returns the patient to the operating room (OR), removes the instrumentation and explores the fusion mass (22830, Exploration of spinal fusion). The orthopedic surgeon confirms pseudoarthrosis and performs a redo fusion."Some Medicare carriers say you can't use...

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