Question: What can providers supply on the billing slip to make coding spine surgeries easier?
Answer: Providers should be supplying all information about the service provided. This would include multiple levels and instrumentation being used.
Below is a table of some CPT changes.
|Type of Approach||CPT Definition||Associated Decompression and Laminotomy, Laminectomy procedure codes|
|Percutaneous||“Image-guided procedures, performed with indirect visualization of the spine without the use of any device that allows visualization through a surgical incision.||62287 (Percutaneous decompression of nucleus pulposus of intervertebral disc)
Note-These procedures included imaging guidance.
|Endoscopic||“Spinal procedures performed with continuous direct visualization of the spine through an endoscope.”||62380 (Endoscopic decompression of spinal cord, nerve root, including laminotomy, partial facetectomy, foraminotomy, discectomy and /or excision of herniated intervertebral disc, 1 interspace, lumbar.)|
|Open||“Spinal procedure performed with continuous direct visualization of the spine through a surgical opening.”||63001-63017, 63045-63048 Laminectomy
63050, 63051 Laminoplasty
|Indirect Visualization||“Image-guided (e.g., CT or fluoroscopy), not light based visualization.”||62287 This definition applies to percutaneous procedures.|
|Direct Visualization||“Light-based visualization; can be performed by eye or with surgical loupes, microscope or endoscope.”||In general, procedures performed under direct visualization are coded as open however, endoscopic procedures such as 62380 would also be considered “direct” visualization, CPT states.|