July 22, 2021

Question:
My surgeon did an ACDF at C5-C6 and C6-C7 but also did an artificial disc (TDA) at C4-C5.  Can I bill for all three procedures?

Answer:
Yes, you may bill for different procedures performed at different spinal levels. You may need to append modifier 59 (distinct procedural services) to reflect the separate procedures.

*This response is based on the best information available as of 7/22/21.