CPT^® 22585, Under Anterior or Anterolateral Approach Technique Arthrodesis Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22585 as maintained by American Medical Association, is a medical procedural code under the range - Anterior or Anterolateral Approach Technique Arthrodesis Procedures on the Spine (Vertebral Column).

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Summary

The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a herniated, or bulging, disk, or other spinal condition. He removes disk material. He performs this procedure on an additional vertebra after performing the procedure on one or more vertebrae in the neck or back.

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Spine fusion coding

My thoughts are: 22558 22585 (second level) 22853 X 2 (2 cages) Don't see any anterior instrumentation in your procedure so we won't code for that 22612. (first level of posterior lateral fusion) 226... [ Read More ]

63267 and 63047 Billed together?

I believe they can be billed together since they are at separate levels. Per AAOS for CPT 63267 lami at same level is included in 63267. 63267: "Intraoperative services [B]included[/B] in the globa... [ Read More ]

SPINE SURGERY WITH A CO-SURGEON

Hi, I have never coded a surgery with a co-surgeon before. Could someone please look at this and let me know if I an correct. I am coding for DR. YYYYY. Codes I am using are: 22558,62 22845,59 22853... [ Read More ]

neurosurgery coding

Anterior will be 63081 (Corp C4) 22551-59 (ACDF C6-C7),22554-59 ( Fusion C4-C5),22846-59 when documented separate component of cage (plate C4-C7),22585-59 (fusion C5-C6),22854 (interbody defect devic... [ Read More ]

Modifier 62

I could really use some help. My Doctor performed anterior approach for 2 level lumbar spinal fusion. 22558, 22585 the co surgeon did the approach for surgery and the close, do I add modifer 62 to ... [ Read More ]

Cosurgery Question

A neurosurgeon in my office commonly does co-surgeries with another specialty office. During these co-surgeries the two co-surgeons surgeons work together on one primary procedure and then our neurosu... [ Read More ]

Spinal Approach Coding

Hello, If you are wondering whether the approach is the same for each code, then yes CPT codes 22558 and 22585 are both for an anterior approach. However, without documentation it is impossible to sa... [ Read More ]

Spinal Approach Coding

Does anyone know if coding spinal approach as the following is correctly coded 22558 22585 22899 Give me your thoughts and why>.......... [ Read More ]

TLIF's with a lami 22633/63047 or 63042

I just had a denial for 22558 but they paid for 22585! I'm just as confused as you are!... [ Read More ]

63090 Vertebral Corpectomy

[b]Medicare is globaling 63090 and 22558,[/b] Why is medicare applying the global edit to 63090 and 22558? Also, which of these codes should have the modifier 62 when they neuro surgeon assist. He o... [ Read More ]

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