Anesthesia Coding Alert

Know the Spinal Possibilities

  • 22554, Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); cervical below C2. Clark says this procedure is performed for a variety of diagnoses, including ICD-9 721.0 (Cervical spondylosis without myelopathy) or 722.0 (Displacement of cervical intervertebral disc without myelopathy).
  • 63030, Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; one interspace, lumbar (including open or endoscopically assisted approach) and other codes related to laminotomies (63020 and 63035-63048)

  • 22590-22632, codes for posterior fusion

  • 22548-22558, codes for anterior fusion

  • 22830, Exploration of spinal fusion

  • 22840, Posterior non-segmental instrumentation (e.g., Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation)
  • 22842-22844, codes related to posterior segmental instrumentation

  • 22845-22847, codes related to anterior instrumentation

  • 22850, 22852 and 22855, codes describing the removal of posterior or anterior instrumentation.
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