CPT^® 22840, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22840 as maintained by American Medical Association, is a medical procedural code under the range - Spinal Instrumentation Procedures on the Spine (Vertebral Column).

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Summary

The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.

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Spinal instrumentation coding

The CPT book gives a definition of segmental vs non-segmental in the Spinal Instrumentation section before these codes. I would look at non-segmental instrumentation code 22840 if it was only for L4-L... [ Read More ]

Cpt 22840

Only one anterior or posterior instrumentation CPT code (e.g., CPT codes 22840-22847) may be reported through a single skin incision.... [ Read More ]

PLIF

When dealing with disk herniation 63030 is the appropriate code. However, since it was performed at L3-L4 it's considered inclusive to 22633 and it shouldn't be reported separately. Since there was an... [ Read More ]

63047 or 63030

Based on the information provided, if 63030 was performed at L3-L4 it's considered inclusive to 22633 and it shouldn't be reported separately. Since there was an interbody fusion you should report 228... [ Read More ]

Spine surgery

[QUOTE="amyjph, post: 508965, member: 172045"] Tough to say without the op note. Correct advice above, you can't code 22612 with 22633 per NCCI edits and guidelines. Read the NCCI manual Chapter IV mu... [ Read More ]

Spine surgery

Tough to say without the op note. Correct advice above, you can't code 22612 with 22633 per NCCI edits and guidelines. Read the NCCI manual Chapter IV musculoskeletal guidelines. L4-5 TLIF 22633 cage/... [ Read More ]

Spine surgery

Please tell me if I have coded this correctly and if I am missing any codes: T-Lif at L4-5 with implant 22633,22840,22853 and new code 63052 and 15777. Then he is going to do posterior lateral fusion ... [ Read More ]

Need help with coding neurosurgery

[QUOTE="rockylopez, post: 503557, member: 605279"] Good morning. I wanted to know if anyone can give me assistance on this op report as i am new to neurosurgery. I am on a time crunch of billing this ... [ Read More ]

Spine coding question

[B]22630-arthrodesis, posterior interbody which includes the laminectomy and/or discectomy to prepare for interspace, single interspace[/B] 3m path arthrodesis, spine, for decompression of nerve, post... [ Read More ]

Spine surgery revision?

I am confused on the correct way to code this and hoping I can get some help with this. Apparently this patient had a previous laminectomies (in 2-17) on L5-S1. He is being brought back to have a revi... [ Read More ]

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