Spine Surgery Coding - AAPC

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Spine Surgery Coding Lynn M. Anderanin, CPC,CPC-I,COSC. 1. Spine Anatomy 7 cervical (neck) vertebrae, 12 thoracic (chest) vertebrae, 5 lumbar (back) vertebrae, and 5 fused vertebra that make up the sacrum 4 fused vertebra that make up the coccyx 2. 1. Good diagrams of the parts of a vertebra can be found at Services/ Spine -Center/Anatomy-of-the- 3. General Notes Approach Number of levels involved Appropriate use of modifiers Co- Surgery 4. 2. Approach Anterior Transoral Extraoral Thoracotomy Thoracolumbar Transperitoneal Retroperitoneal Posterior Transpedicular Posterolateral Costovertebral 5. Vertebral Segment vs. Interspace A vertebral segment describes the basic constituent part into which the Spine may be divided. It represents a single complete vertebral bone with its associated articular processes and laminae.

–Identifies multiple levels on add-on codes. 5 9 ... X-ray was taken to confirm that the bone graft and hardware were in good position. 10 19 ... ADR Removal 22864 Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical 22865 lumbar

  Hardware, Code, Multiple, Removal