CPT^® 22846, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22846 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 at the front of the spine across four to seven vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.

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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 ]

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 ]

22845 report once or twice

I agree with 22845 only once. Its levels spanned, 22845 covered 1 or 2 levels. Also to note, good luck billing 22845x2. The MUE for that code is 1. My providers try to do that in the next for 2 leve... [ 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 ]

billing for 2 assistants

Hello, Our neurosurgeon performed arthrodesis of the cervical spine. She had a PA as her assistant for most of the surgery, then had another neurosurgeon come in to assist with placing of the instrum... [ Read More ]

22845 with 22853

No, I just draft a general letter with the product names and something like this: According to CPT 22846 (or whatever one you used) may be reported for separate use of the instrumentation/plate when ... [ Read More ]

Intervertebral biomechanical device with separate anchoring

CPT states that 22853 is an intervertebral biomechanical device with integral instrumentation. Our doctors use an intervertebral device that HAS NO INTEGRAL INSTRUMENTATION. Therefore we are billing... [ Read More ]

Spinal Instrumenation

Hi, I need help with this OP report. So the surgeon did a posterior approach and removed posterior cervical segmental instrumentation C3-4-5-6-7. He then turned the patient and did an anterior approa... [ Read More ]

Anterior Plate Payment

Im curious who else is having this issue. I am running into a tread of denials from UHC Medicare plan for the anterior plate(22845/22846) when billed with an Interbody Device for ACDF cases. This plat... [ Read More ]

Help with coding a cervical case

I would code as follows: 22551 22552x2 22846-59 22853x3 22600-59 22614x2 22842 63045-51 63048x4 add any scope and grafting used. NOTE: Be sure all the required components are met for 63045/63048. I... [ Read More ]

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