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<p>[QUOTE="Anonymous, post: 3277589"]There is no XLIF code. It is usually coded as an ALIF: CPT 22558. If the surgeon is a dirtball and is trying to milk the system, they will code for an ALIF, and add the extracavitary approach code: CPT 22532-22534. If they used the extracavitary code, forget any appeal. It is considered borderline fraudulent by some in the business. Otherwise, the process is simple for the ALIF code. He may need to draft a letter of medical necessity, and resubmit. Maybe it will require a peer review. He can possible resubmit with an unspecified code (can't remember the CPT) which would typically automatically trigger a peer review.[/QUOTE]</p><p><br /></p>
[QUOTE="Anonymous, post: 3277589"]There is no XLIF code. It is usually coded as an ALIF: CPT 22558. If the surgeon is a dirtball and is trying to milk the system, they will code for an ALIF, and add the extracavitary approach code: CPT 22532-22534. If they used the extracavitary code, forget any appeal. It is considered borderline fraudulent by some in the business. Otherwise, the process is simple for the ALIF code. He may need to draft a letter of medical necessity, and resubmit. Maybe it will require a peer review. He can possible resubmit with an unspecified code (can't remember the CPT) which would typically automatically trigger a peer review.[/QUOTE]
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Cafepharma Message Boards | Pharma Sales, Device Sales, Lab Sales
Home
Forums
>
Medical Equipment/Device Sales
>
NuVasive
>
Reimbursement Issues
>
Cafepharma Message Boards | Pharma Sales, Device Sales, Lab Sales
Home
Forums
>
Medical Equipment/Device Sales
>
NuVasive
>
Reimbursement Issues
>