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Interspinous Ligament Injection
Our doctor performed a interspinous Ligament injection L3-4 for diagnosis Lumbar interspinous bursitis. I billed 20550 but was not able to code anatomical modifier Lt or RT because it was directly injected into the ligament. Would CPT code 22899 be more appropriate as 20550 requires an anatomical modifier?
Medical Decision Making
The patient has a recurrent keloid following surgical excision and is largely asymptomatic, with only occasional pruritus and burning. Does this fall under low or moderate medical decision-making?
Mod 62 & Spinal Instrumentation
Our coding department has a question for KZA. Due to the high complexity of the case, two surgeons from different specialties (an orthopedic surgeon and a neurosurgeon) completed the surgery together. Can modifier 62 be applied to spinal instrumentation codes 22840-22847 and 22853?
Removing a Nasal Pack
I have looked everywhere and cannot find a CPT code for removing a posterior nasal pack. I found CPT code 30906 for reporting control of a nasal hemorrhage when removing and replacing the pack. Can I report 30906 with Modifier 52 since my doctor is just removing the posterior nasal pack?
Tibial Plateau Fractures
Can you please clarify if CPT 27536 requires two incisions, one for the medial and one for the lateral to be able to use this code?
Transcarotid TAVR: Unlisted Code 33799
My hospital wants to pursue elective TAVR via carotid approach. Normally via percutaneous femoral approach, the Interventional Cardiologist and Cardiac Surgeon bill for the case. If they request me for open carotid artery exposure (as Vascular Surgeon), is there a way for me to bill as a third provider?
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