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 CPTÂ® 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 CPTÂ® code descriptions with that anatomy. CPTÂ® codes from both the 20000âs and 60000âs can be utilized in these cases, so attendees will understandÂ how to determine the right codes. She will also suggest good references that can be used to determine the appropriate CPTÂ® coding for these cases because it is common to receive denials for these cases due to the complexity of the coding.
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 CPTÂ® code descriptions available, the coding can become much easier to understand.Â 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.Â Lynn will help to identify when 60000 CPTÂ® code series codes would be used instead of, or in addition to, the 20000 CPTÂ® codes.Â 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.Â CMS and CPTÂ® 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.Â The approach and procedures performed will also determine the correct code assignments and whether primary, add on codes, or combination codes should be reported.Â 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.
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...
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