Billed 63047 59 51,
Dx 738.4 724.03 324.1
Anyone with experience in this area? The 22851 22612 22840 all denied - physician asserts these are correct codes.
per op note procedures were:
L3 - L4 bilateral laminotomies and foraminotimies
L5 and partial L4 bilateral laminectomies, foraminotomies, and resection of snovial cyst
Non-segment intralaminar nonfusion instrumentation at L3-L4 (Coflex)
L4-L5 lateral mass fusion with bone marrow aspirate concentrate and Novabone
postrlateral instrumentation with r-sided L4-L5 pedicle screws utilizing Proliant system
intraop neural monitoring and neuronavigation with O-arm and Stealthstation
0 Modifier 0 indicates that there are no circumstances in which a modifier would be appropriate. The services represented by the code
Modifier 1 indicates that a modifier is allowed in order to differentiate between the services provided. Assuming the modifier is used correctly and appropriately, this specificity provides the basis upon which separate payment for the services billed may be considered justifiable. Generally, the modifiers which are most likely to add specificity, or further information to the billed codes, are: E1-E4, FA, F1-F9, TA, T1-T9, LT, RT, LC, LD, RC, 58, 59, 78 and 79.