The Fundamentals for Coding Spine Surgery

Event Information
Product Format
Prerecorded Event
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
60 Minutes
Product Description

Accurate Reporting of Co-Surgery Based on CPT® and CMS Guidelines

There are many sub-specialties within orthopedics and neurosurgery to include spine surgery to treat degenerative conditions, intervertebral disc herniation, and spinal stenosis, just to name a few. The coding necessary for these spine surgery cases is very different from other surgical cases for these specialties. This session by Lynn Anderanin, CPC, CPC-I, COSC, will explain the many CPT® codes that can be involved in these cases to make sure that all procedures performed as represented for maximum reimbursement.

Included in this session will be real case studies for discussion with explanation of the spine anatomy and matching the CPT® code descriptions with that anatomy. CPT® codes from both the 20000’s and 60000’s can be utilized in these cases, so attendees will understand  how to determine the right codes. She will also suggest good references that can be used to determine the appropriate CPT® coding for these cases because it is common to receive denials for these cases due to the complexity of the coding.

Session highlights

  • Name the anatomy of the spine and how to use this understanding to CPT® codes assignment
  • Discuss the surgical approach and how this determines CPT® code choice
  • Proper use of add on codes for spine surgery
  • Appropriate reporting of co-surgery based on CPT® and CMS guidelines
  • CPT® codes that are used to report a combination of services in 1 code
  • Common denials and how to appeal them

Many consider spine surgery coding as a complicated task, however, once there is an understanding of the anatomy of the spine, the conditions that are being treated, and the CPT® code descriptions available, the coding can become much easier to understand.  This session will take a step-by-step approach to identify the documentation needed by utilizing real case studies to assign the appropriate codes for these spine surgery cases.  Lynn will help to identify when 60000 CPT® code series codes would be used instead of, or in addition to, the 20000 CPT® codes.  Very often an orthopaedic surgeon and a neurosurgeon will both participate in these cases because of the complexity and risk, and it is imperative that the co-surgery modifier 62 is assigned appropriately.  CMS and CPT® guidelines do differ for the use of modifier 62 for these cases, so it important that there is an understanding of the differences in the guidelines.  The approach and procedures performed will also determine the correct code assignments and whether primary, add on codes, or combination codes should be reported.  This conference will allow attendees to understand when and what codes are appropriate.

Who should attend : Orthopedic surgeons, neurosurgeons, non physician providers, coders, collections staff, surgery schedulers, practice managers/administrators.

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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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