Billing and Coding: Cervical Fusion

This article provides billing and coding guidance specific to cervical fusion and related cervical-spine procedures and defers to LCD L39799 for reasonable and necessary coverage criteria. Claims must include valid ICD-10-CM diagnoses, appropriate CPT/HCPCS coding, legible medical records with provider signatures and supporting documentation of medical necessity; inclusion of non-FDA-approved biological injectants will lead to claim denial.

"This billing and coding guidance applies to cervical fusion and related cervical-spine procedures; follow LCD L39799 for reasonable and necessary coverage criteria."

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