By What is the difference between CPT 22551 and 22554?
22551 is a newer code, created in 2011. Prior to that, if an ACDF was performed at a single level, you would report 63075 and 22554. Since 2011, if an ACDF is performed at a single level, you report 22551 only.
What is included in CPT code 22551?
Coders should instead report all-encompassing CPT code 22551 (arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2) for an anterior cervical discectomy and interbody fusion performed at the same level during …
What is the difference between CPT 22630 and 22633?
Code 22630 describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).
What does CPT code 22853 mean?
Insertion of interbody biomechanical device
CPT code 22853 is described as “Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in …
What is procedure code 22845?
CPT® 22845, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column) The Current Procedural Terminology (CPT®) code 22845 as maintained by American Medical Association, is a medical procedural code under the range – Spinal Instrumentation Procedures on the Spine (Vertebral Column).
Does Medicare pay for 20930?
Medicare doesn’t pay us on 20930 and 20936.
What is procedure code 63650?
CPT codes 63650, 63655, and 63661-63664 describe the operative placement, revision, replacement, or removal of the spinal neurostimulator system components to provide spinal electrical stimulation.
What is procedure code 20931?
CPT® 20931, Under General Grafts (or Implants) Procedures on the Musculoskeletal System. The Current Procedural Terminology (CPT®) code 20931 as maintained by American Medical Association, is a medical procedural code under the range – General Grafts (or Implants) Procedures on the Musculoskeletal System.
Can 22612 and 63047 be billed together?
First of all, CPT 63047 does not bundle with 22612, so that’s an easy yes, you can bill both. The issue is that CPT 63047 bundles with both 22630, 22633.
Can CPT code 22633 and 63047 be billed together?
The correction in the CPT Assistant publication says that codes 22633 and 63047 may be reported for the same interspace when additional work is required to complete a decompression at the same spinal level.
Can CPT code 22845 and 22853 be billed together?
Answer: To “unbundle” +22845 from +22853 and have it separately paid, you will report +22845 with modifier 59. This is appropriate if you use a completely separate plate that spans the interspace, it can provide independent stabilization, and is not considered integral to the intervertebral device (+22853).
Can CPT code 63030 and 63047 be billed together?
Yes, you can bill it that way with the 59 modifier attached to 63030.
What is the CPT code for anterior cervical discectomy?
If two physicians performed the discectomy and arthrodesis, they must each report 22551 with modifier -62 (two surgeons). In some cases, it would be appropriate to report 22551 with one or more units of add-on code 22552 (…; each additional interspace), to indicate work was done on one or more additional interspaces.
Can a fusion device be reported using only CPT code 22853?
This is accurately reported and billed using only CPT code 22853. It is incorrect to separately report (unbundle) 22845 if an integrated plate was used to secure the device into the interspace. How will you know if the fusion device should be reported using only CPT code 22853 OR both 22853 and 22845?
Which is code for posterior craniocervical fusion procedure?
Posterior Craniocervical Fusion Procedure Description Code Modifier Comments Arthrodesis, posterior technique, craniocervical (occiput-C2) 22590 Occiput – C2 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment each additional vertebral segment 22600 22614 51 1st segment below C2
What is the CPT code for an intervertebral device?
When an intervertebral device is placed with an integrated anterior plate it is also called a “low profile” or “stand-alone” device. This is accurately reported and billed using only CPT code 22853.