Foraminotomy / Laminectomy / Coflex / Fusion /Screws

Billed 63047 59 51,
63267 51,
22851,
22612,
22840
Dx 738.4 724.03 324.1
Anyone with experience in this area? The 22851 22612 22840 all denied - physician asserts these are correct codes.

per op note procedures were:
L3 - L4 bilateral laminotomies and foraminotimies
L5 and partial L4 bilateral laminectomies, foraminotomies, and resection of snovial cyst
Non-segment intralaminar nonfusion instrumentation at L3-L4 (Coflex)
L4-L5 lateral mass fusion with bone marrow aspirate concentrate and Novabone
postrlateral instrumentation with r-sided L4-L5 pedicle screws utilizing Proliant system
intraop neural monitoring and neuronavigation with O-arm and Stealthstation

re: Foraminotomy / Laminectomy / Coflex / Fusion /Screws

THIS IS WHAT MY SOFTWARE STATES HOW IT SHOULD BE BILLED:

CCI Validation Report
Code Short Description Non-Facility RVU Column 1 Conflicts Column 2 Conflicts

22612
Lumbar spine fusion 45.68 (none) (none)

63267
Excise intrspinl lesion lmbr 39.44 (none) 630471

63047
Remove spine lamina 1 lmbr 31.6 632671 (none)

22840
Insert spine fixation device 21.94 (none) (none)

22851
Apply spine prosth device 11.75 (none) (none)

0 Modifier 0 indicates that there are no circumstances in which a modifier would be appropriate. The services represented by the code

Modifier 1 indicates that a modifier is allowed in order to differentiate between the services provided. Assuming the modifier is used correctly and appropriately, this specificity provides the basis upon which separate payment for the services billed may be considered justifiable. Generally, the modifiers which are most likely to add specificity, or further information to the billed codes, are: E1-E4, FA, F1-F9, TA, T1-T9, LT, RT, LC, LD, RC, 58, 59, 78 and 79.