Spine Surgery Coding - AAPC

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.

–Laminoplasty-63050-63051 –Transpedicular approach-63055-63057 –Costovertebral approach-63064-63066. 8 15 Example 63047, 63048 ... cervical discectomy and interbody fusion at the same level during the same session, use 22551 If two physicians are performing discectomy and

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  Cervical, Laminoplasty

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