CPT^® 22586, Under Anterior or Anterolateral Approach Technique Arthrodesis Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22586 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 spinal fusion, permanently joining two vertebrae, for correction of herniated nucleus pulposus, a bulging disk, at the base of the lower back near the tailbone. He excises the disk material and may fill the space with bone graft in a presacral interbody technique. He uses image guidance and employs posterior spinal instrumentation.

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Help Needed: Edit

Hi everyone, I am stumpt on this preoject/research question below, any assistance would be so greatly helpful Thanks so much, Brittany- CPT code 77003 is present under revenue code 320. CPT code 64... [ Read More ]

Help Needed: Project and Research Question-Correct an Edit auditing coding cpt edit ncci

Hi everyone, I am stumpt on this preoject/research question below, any assistance would be so greatly helpful :) Thanks so much, Brittany- CPT code 77003 is present under revenue code 320. CPT code... [ Read More ]

Fluro and modifier 59

Hey all I am confused with regards to billing for fluro for say a Transforaminal ESI and adding the 59 modifier to code 77003. I say we cannot bill the fluro separately (77003) with a 64483 because ... [ Read More ]

Code Help 22586

It was performed in the prone position. According to the CPT book under 22586, it says: "Arthrodesis; pre-sacral interbody technique, including disc space prep, discectomy, with posterior instrument... [ Read More ]

Code Help 22586

My Doc did a fusion at L5-S1. So I coded out 22586, 22851 and 38220 for the bone marrow aspirate. Medicare does not want to pay for both codes because code 22851 was not included in the list of code... [ Read More ]

Code Help 22586

Greetings All, Has anyone else had an issue with codes 22586 and 22851 together? I have had an issue where the payer doesn't want to pay them both because 22851 isn't listed as an applicable add-on c... [ Read More ]

Spine Coding Help

My doc did a spinal arthrodesis at the L5-S1 level. I am using the new code 22586 which covers the fusion, disc space prep as well as the instrumentation. However, when I was reading the applicable ... [ Read More ]

77003 Fluoro guidance

Hi all! I have a question about fluoro guidance and localization of needle or catheter tip for spine: is it now inclusive to the lumbar puncture 62270? It has come to my attention this month becaus... [ Read More ]

The new 22586 code

Does anybody know about this new arthrodesis code? Can it only be done via anterior approach? It is my understanding that this code includes the disc space prep, discectomy w/posterior instrumentati... [ Read More ]

1/21/2013 Chapter Meeting Minutes

The meeting began at 6pm. Rachel Guy provided an introduction of the 2013 officers. They are as follows: President: Elisha Karsky, CPC Member Development Officer: Melissa Carsen, CPC Education Office... [ Read More ]

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