CPT^® 22848, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22848 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 attaches the lower end of a spinal fixation device to the pelvic bones, but not the tailbone, during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.

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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 ]

L4, L5-S2AI spinopelvic fixation vs instrumentation CPT?

These are problematic when they are doing it for trauma patients that have really bad pelvic/SI fractures and dislocations and you can't use the add-on codes as stated above. In some cases in the past... [ 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 ]

Coding for a sacral lateral extravaitary approach for corpectomy and fusiion

I have a physician that did a S2 corpectomy and S1-S3 fusion using the lateral extracavitary approach for both. I am thinking i have to use the 69990 for all three of these codes. Of course then they ... [ Read More ]

Pelvic fixation other than sacrum 22848

22848 is an add on code but if we are not supposed to use the Reinsertion code what code would be appropriate if pt is returning to OR during post op for: Procedure(s): PELVIC FIXATION OTHER THAN SACR... [ Read More ]

Neurosurgery question

If anyone has any experience with neurosurgery, we have just started performing cases like the one I have added below, and we could use some advice. We are unsure if we should be coding 27280 alone, 2... [ Read More ]

Spine surgery

Not sure about the osteotomies & segments, etc. 22212 22214 22216 15734 22614 22612 22849 22852 22830 22848 22844 22633 22853 63056 22325 PROCEDURE: 1. Removal of implants bilateral T4 2. Exploration... [ Read More ]

Spinal fixation

[b]Co-Surgeon / Assistant Surgeon / Plates & Cages[/b] [QUOTE="eutsler, post: 414009, member: 362721"]I have a related question. I work for the general/vascular surgeon who performs the approach, th... [ Read More ]

Re-do of Acdf

[b]Redo of ACDF[/b] In terms of the instrumentation, I would follow the advice provided by the AMA in CPT Assistant June 2012, Volume 22, Issue 6, pages 10-11, 17: [I]The appropriate spinal instrume... [ Read More ]

22853 cpt biomech devices

Hi, Please confirm my understanding on Instrumentation scenario. When some Plate(s) and / or Screws are used to support the vertebral segments and providing stability to the segments, it is accepta... [ Read More ]

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