Posterior Lumbar Fusion Case Studies

⚡ INSTANT DOWNLOAD | 41-Page Professional PDF Guide | For Medical Coders & Billers

Master the CPT coding for posterior lumbar fusion procedures — including the critical distinctions between PLIF, TLIF, and PLDF that trip up even experienced coders. Volume 3 of the Medico Boom Surgical Case Study Series covers all three approaches with three complete de-identified operative reports and line-by-line coding analysis.

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★ WHAT'S INCLUDED

✔ 41-page professionally designed PDF ✔ Three complete case studies (one PLDF, one TLIF, one PLIF) ✔ Full de-identified operative reports as they appear in the chart ✔ Line-by-line CPT coding analysis with rationale ✔ Master CPT code reference tables ✔ Four-column approach comparison: PLDF vs. PLIF vs. TLIF ✔ Critical bundling rules explained (22633 vs. 22630 decompression) ✔ 12 common operative report documentation issues ✔ Modifier quick reference (22, 51, 59, 62, 58, 78, XS) ✔ One-page tear-out cheat sheet with 6-question decision tree ✔ Final bill-out summaries showing exactly what goes on the claim

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★ CASE STUDIES COVERED

▸ Case 1: One-Level PLDF at L4-L5 with pedicle screws (no interbody) ▸ Case 2: Two-Level TLIF at L4-L5, L5-S1 with standalone cages ▸ Case 3: Three-Level PLIF at L3-L4, L4-L5, L5-S1 with iliac crest autograft

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★ THE CRITICAL DISTINCTIONS COVERED

▸ Why 22633 (TLIF) bundles decompression but 22630 (PLIF) does NOT ▸ When to bill 63047 separately vs. when it's included ▸ PLDF vs. PLIF vs. TLIF — how to identify each from the op report ▸ Bilateral cage placement rules for PLIF cases ▸ Pedicle screw instrumentation coding (22842/22843/22844) ▸ The #1 posterior fusion coding error (worth thousands in RVUs)

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★ CPT CODES COVERED

Arthrodesis codes: 22612, +22614, 22630, +22632, 22633, +22634 Interbody devices: +22853, +22854, +22859 Posterior instrumentation: +22840, +22842, +22843, +22844 Decompression codes: 63047, +63048, 63030, +63035 Bone graft codes: +20930, +20931, +20936, +20937, +20938 Modifier applications for posterior lumbar surgery

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★ WHO THIS IS FOR

Medical coders working in spine or orthopedic surgery

Medical billers processing surgical claims

Practice managers overseeing coding accuracy

Certified coders (CPC, CCS) building specialty expertise

Coding instructors and students studying spine surgery

Anyone preparing for coding certification exams

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★ WHY THIS GUIDE

Written by a medical billing specialist with 15+ years of orthopedic and spine surgery experience. The critical distinction between PLIF, TLIF, and PLDF coding is one of the biggest revenue leaks in spine practices — coders miscode these procedures constantly, either overbilling (unbundling 63047 with TLIF) or underbilling (missing 63047 with PLIF). This guide walks through the actual decision process used to code these cases correctly in practice.

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★ FORMAT & DELIVERY

📄 Format: PDF (41 pages) ⬇️ Delivery: Instant digital download 🖥 Compatible with: All PDF readers, tablets, phones, computers 🖨 Print-friendly: Formatted for standard letter size 📱 Mobile-ready: Read on any device

Upon purchase, your download will be available immediately in your Etsy account under "Purchases and Reviews."

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★ IMPORTANT NOTES

This guide is educational and reflects widely accepted coding practices as of publication. Always verify against current AMA CPT® codebook, CMS NCCI edits, and specific payer policies before submitting claims. This is not legal, compliance, or billing advice for any specific claim.

Due to the digital nature of this product, all sales are final. No refunds or exchanges. However, if you have any issues accessing your download, please message me — I'm happy to help.

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★ ABOUT MEDICO BOOM CONSULTING

Medico Boom Consulting, LLC is a spine and orthopedic surgery billing specialist based in New Jersey, serving practices across the tri-state area. Our Surgical Case Study Series is designed for medical billers and coders who want deep, practical specialty expertise — the kind you can't find in a codebook.

Explore other volumes in the series:

Volume 1: Lateral & Anterior Lumbar Fusion (XLIF/LLIF/ALIF)

Volume 2: Anterior Cervical Discectomy & Fusion (ACDF)

Volume 4: MIS Decompression (Microdiscectomy + Laminectomy)

Follow the shop to be notified when new volumes are released.

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Questions? Message me directly — I typically respond within 24 hours.

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