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Laminectomy with Onlay Fusion

I rarely code spinal surgeries, and am not sure if an onlay fusion qualifies for the arthrodesis code 22612.
Without giving the entire OP note, this is the Diagnosis and procedure performed.
I’m thinking 63047 for L3-4 and 22612 + ?? 63407 for fusion.

Severe spinal stenosis L3 4 L4 5 minimal spondylolisthesis L3 on 4

Operation performed:
Decompressive laminectomy, bilateral L3 4 and L4 5 with partial facetectomy
Onlay fusion L3 4

Thank you,
Cindy

Medical Billing and Coding Forum

add on code for 27279 (SI joint fusion)

I have a physician billing for a SI joint fusion (27279). He also used stereotactic navigation for instrumentation. He listed the code as 61783. Medicare is denying this stating that 61783 is not an approved add on code for 27279. Any suggestions/ideas what the correct code should be for the stereotactic navigation?

Medical Billing and Coding