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A computer-assisted musculoskeletal surgical navigation orthopedic procedure is a specialized technique that utilizes advanced technology to enhance the precision of orthopedic surgeries. This procedure employs image guidance based on fluoroscopic images, which are real-time X-ray images that help visualize the internal structures of the body during surgery. The primary goal of this approach is to improve the accuracy of complex surgical interventions, such as joint replacements (arthroplasties) or the fixation of fractures in the femur or pelvis, while minimizing the invasiveness of the procedure. By using computer-assisted navigation systems, surgeons can perform these intricate procedures through smaller incisions, which can lead to reduced surgical time, decreased blood loss, and a shorter recovery period for patients. The process of computer-assisted surgical navigation involves three critical steps: data acquisition, registration, and tracking. Initially, tracker pins are strategically placed at specific anatomical sites, and fluoroscopic, CT, or MRI images are captured to provide a detailed view of the surgical area. Following this, registration techniques are employed to correlate the anatomical surface data with the underlying bony anatomy visible in the surgical field. A computer-generated model is then created from the radiographic images, which is aligned with the surface data points. This model is essential for guiding the surgical instruments accurately throughout the procedure. The integration of these advanced imaging techniques with a computer-assisted navigational system allows for real-time tracking of the position and orientation of surgical tools and internal fixation devices, thereby enhancing the overall effectiveness and safety of the orthopedic procedure.
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The computer-assisted musculoskeletal surgical navigational orthopedic procedure is indicated for various complex orthopedic conditions that require precise surgical intervention. These indications include:
The computer-assisted musculoskeletal surgical navigation orthopedic procedure follows a structured approach that includes several key steps:
Post-procedure care following a computer-assisted musculoskeletal surgical navigation orthopedic procedure typically involves monitoring the patient for any immediate complications and ensuring proper recovery. Patients may be advised on pain management strategies and rehabilitation protocols to facilitate healing. The use of smaller incisions generally leads to a quicker recovery time, but specific follow-up appointments will be necessary to assess the surgical site and the overall progress of the patient's rehabilitation. Additionally, physical therapy may be recommended to restore function and strength in the affected area.
| Short Descr | BONE SRGRY CMPTR FLUOR IMAGE | Medium Descr | CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES | Long Descr | Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3B - Major procedure, orthopedic - Hip replacement | MUE | 1 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GA | Waiver of liability statement issued as required by payer policy, individual case | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | GZ | Item or service expected to be denied as not reasonable and necessary | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | SG | Ambulatory surgical center (asc) facility service | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GW | Service not related to the hospice patient's terminal condition | T6 | Right foot, second digit | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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Action
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| 2009-01-01 | ReActivated | Reactivated |
| 2009-01-01 | Added | Code added. |
| 2008-01-01 | Deleted | Deleted |
| 2005-01-01 | Changed | Code description changed. |
| 2004-01-01 | Added | Added |
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