CPT^® 22634, Under Posterior, Posterolateral or Lateral Transverse Process Technique Arthrodesis Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22634 as maintained by American Medical Association, is a medical procedural code under the range - Posterior, Posterolateral or Lateral Transverse Process Technique Arthrodesis Procedures on the Spine (Vertebral Column).

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Summary

In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this procedure to prevent any further damage or pain in the joint.

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TLIF & PLIF

No 22 it would have to be clearly documented at the time of the procedure that it was increased. It's a two level interbody. 22633, 22634, 22842, 22853x2, 20930 (if payer covers), yes you could add 63... [ Read More ]

TLIF & PLIF

I need to do a prior authorization for a TLIF at L4-5 and a PLIF at L5-S1, I have coded for a PLIF by itself and a TLIF by itself but never together. PLIF and TLIF are both coded with 22633. I do n... [ Read More ]

Laminectomy

63053 is an add on code for 63052 63052 as long as documentation is there to support it. From the 2022 CPT changes book, "Meaning more extensive decompression beyond the typical dissection needed to... [ Read More ]

L4, L5-S2AI spinopelvic fixation vs instrumentation CPT?

27280 will include fixation instrumentation, and the instrumentation add-on codes can't be used with this code. (Use [URL='https://www.aapc.com/codes/cpt-codes/22846']22846[/URL] in conjunction with ... [ Read More ]

Back case TLIF

[QUOTE="amandamkcj, post: 505981, member: 270371"] TLIF with posterior spinal fusion L4-5 and L5-S1= 22633 22634 22853X2 Instrumentation L4-S1= 22842 Decompressive lami with F and F L4-5, L5-S1--assum... [ Read More ]

Back case TLIF

TLIF with posterior spinal fusion L4-5 and L5-S1= 22633 22634 22853X2 Instrumentation L4-S1= 22842 Decompressive lami with F and F L4-5, L5-S1--assuming this is more than just for creating the intersp... [ Read More ]

CPT 22630 VS 22633

TLIF (TRANSFORAMINAL LUMBAR INTERBODY FUSION) 22633,22842,22634,22853 X2,20936,20930... [ Read More ]

CPT 22630 VS 22633

Hello: Hoping someone can clarify whether the following op note should be 22630 vs 22633. If someone can point out if provider did do the combination approach as described in cpt 22633. That would ... [ Read More ]

TLIF - Codes

Can you use a combination code (22633/22634) for a lumber interbody fusion (TLIF) on the same level that has already been fused?... [ Read More ]

Spinal HELP!!!

This is how I would bill this. DX:M48.061, M43.16 22633-22 22634 63012-59 22842 22853x2 20930 20936 You can only bill modifier 22 on your primary procedure code. 63012 has no additional level cod... [ Read More ]

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