Fusion – Multiple Codes

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August 7, 2014

Question:

If I do a posterior T11-L5 fusion, do I code it as 22610 (thoracic, first level, T11-T12), 22612 (lumbar, first level, L1-L2) and 22614 x 4 (T12-L1, L2-L3, L3-L4, L4-L5)?

Answer:

Actually, only one stand-alone code – either 22610 or 22612 – may be reported, and the remaining levels are the add-on code, 22614. Since the majority of levels performed were lumbar, then you’d use 22612 as your sole stand-alone code. You’ll then have five additional levels (22614) to report.