Physician > CPT Codes

The information included by CPT code is the detail of RBRVS relative values, applicable ICD-9 diagnosis codes (examples), the Medicare Status Indicators and coding tips specific to the code selected.

The information included in the Medicare Status Indicators is the timeframe for the global surgical package, professional and technical component indicators, if multiple procedure concept is applicable, if bilateral concept is applicable, is an assistant at surgery is applicable, if payment for co-surgeons is permitted, if payment for team surgeons is permitted, physician supervision and billable medical services. Please refer to the Key for Medicare Status Indicators to understand the codes utilized in the Medicare Status Indicators.

Be aware that different payers have different rules and policies regarding coding and billing. Except for government programs like Medicare and Medicaid, there are no laws or regulations governing what a payer can or cannot do. Each payer sets it's own policies and procedures without reference to what any other payer does.

In the Coding Tips section, references to the most common rules and policies, which are often those of Medicare, have been included. Although many payers ultimately adopt the same policies and procedures as Medicare, some never do.

For questions regarding the codes or indicators, please contact SpineLine™, Medtronic Sofamor Danek Coding and Reimbursement Support, at 877-690-5353 or by e-mail at spinalcodingmd@medtronic.com.