Help!

My surgeon did a corpectomy at C6, with an anterior arthrodesis at C5-C7, and he used a operating microscope, 69990. I came up with 63081, 22554, 22585 and 69990 but the 69990 bundles with the 22554. He wants me to bill it out because there is no bundling edit with 63081, but I'd have to use the 59 modifier to bypass the edit. What should I do? TIA!

Rich

re: HELP!

according to my research on the codes you are going to bill the 69990 is not bundled with any of the other codes and can therefore be billed. I don't think you need to use modifier 59 or 51 according to the guidelines for 69990