We billed 22633 and 22612 out done at the same date of surgery but on different levels. There is a CCI edit in place that is creating these two codes to bundle even w a modifier. We have changed the code 22612 to 22614 but it has a much lower RVU. Has anyone else dealt with this situation and know of a different code or workaround to get the full RVU for the second level? 22899???

Thank you for your help,
Stephanie

I code for a neurosurgeon that wants to submit 22633 and 22612 during the same surgical session. Is it appropriate to bill these 2 primary procedures together? I was thinking no and that each additional level without an interbody fusion would be 22614.

For example:
Right L4-5 TLIF
L3 to L5 posterolateral arthrodesis

I would submit this as:
22633
22614

Should I be using: 22633 and 22612??

Please help!! I appreciate your time.