Now you will gain the crucial knowledge to understand what constitutes a spinal fusion—especially when a physician says "spinal fusion" but the procedure does not meet the ICD-10-PCS root definition for spinal fusion. And by attending this exclusive ICD10monitor webcast, you and your team will know when the procedure is a fusion versus a reposition. That's because you will come to understand that the difference is all about the objective of the procedure. And knowing that difference becomes increasingly important as payers and the OIG could be scrutinizing claims for clinically invalid codes that will impact reimbursement and could trigger an audit.
As you and many of your colleagues know, coding spinal fusion continues to be a confusing procedure because of the many joints and the various "devices" that are involved in the procedure. Furthermore, coders have the responsibility to interpret the physician documentation into the ICD-10-PCS codes, according to the Official Coding Guidelines.
So in response to requests for more information on coding spinal fusions —and to do so with case studies— this in-depth webcast is being conducted to help mitigate confusion about spinal fusion coding. You'll be exposed to procedures for spinal curvature in order to determine if the procedure was a fusion. You'll gain an in-depth understanding about complicated spinal fusions— procedures that involve multiple spinal levels, a number of devices, various codes and, often times, confusing clinical documentation. You'll learn the difference between those fusions with a posterior approach of the posterior column and those of the anterior column, as well as the anterior approach of the posterior column and anterior column.
And, since there are other procedures that are performed with spinal fusion including laminectomies, foraminotomies, discectomies, you will learn whether to code or not to code these similar procedures.
Why This is Relevant:
Coding spinal fusions is a potential audit target since, recently, nearly 100 codes were not clinically possible because those codes were removed from the 2019 ICD-10-PCS update. As a result, payers and the OIG could be targeting facilities that are using clinically invalid codes. Facilities should review their data to ensure that any potential issue is identified.
From this exclusive ICD10monitor webcast by Laurie Johnson, you will…
- Understand the clinical documentation required to code spinal fusion.
- Benefit from a review of the MS-DRG and potential compliance impact of assigning an incorrect procedure code.
- Understand the process of MS-DRG assignment and what data impacts the assignment.
- Learn the differences between fusion and reposition.