CPT^® 22856, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22856 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

In this procedure, the provider places an artificial disc into a single cervical interspace to treat conditions such as degenerative disc disease, disc disruption, internal disc derangement, and symptomatic disc desiccation. He also removes the intervertebral disc and removes bone spurs, or growths, that may develop on the upper or lower edges of the vertebrae to reduce pressure on the nerve root or spinal cord.

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Fusion or Total disc Arthroplasty?

Provider chose 22856. I am new to ortho surgery but that does not seem correct to me. Any help would be appreciated- Presumed c5-c6 disc was marked with a spinal needle which confirmed the appropr... [ Read More ]

Coding HELP!

Since there is not a crosswalk provided by the AMA for deleted 0375T - the debate is whether to use just 22899 or 22899 with 63075, 63076 or 22856, 22858 and 22899? Does anyone have anything definiti... [ Read More ]

Deleted 0375T - Coding HELP with 3 level Cervical Arthroplasty

Surgery in an ASC setting surgeon completed a Cervical Total Disc Replacement at levels C3-4, C4-5 and C5-6. Prior to 01/01/2020 would have used CPT 0375T but since the deletion of that code it leave... [ Read More ]

ADR Spine Surgery help with coding

We have a spine surgeon that does the ADR in the ASC. I am knew to the spine world of coding for the ASC side. Can some one tell me if am allowed to bill the 76000,59,TC (flouro with the 22856, 22858... [ Read More ]

3 level total disc arthroplasty (artificial disc)

My doctor wants to do a 3 level total disc arthroplasty (artificial disc). For the first two levels the codes are 22856 and 22858. What would I use for the third level? Would I have to use 22899 un... [ Read More ]

Help with Total Disc Arthroplasty

[b]Articicial Cervical Disc[/b] For Cervical Arthroplasty look at code 22856. This code includes the end plate prep and spinal decompression and discectomy for a single interspace.... [ Read More ]

February 2015 Minutes

Meeting Minutes February 16, 2015 Presentation: 2015 CPT Changes Annie Boynton, CPC, CPC-H, CPC-PCP-I I. Welcome-Chris Laliberte-President Welcome by Chris. Meeting held tonight at Vivian?s due to t... [ Read More ]

MLD Help

You may not get paid for 69990 but the work was done so it should be billed. CPT guidelines state 69990 is not to be used with spine codes 22856-22861, 63075-63078 and 64727. Bill to all payors when... [ Read More ]

Artificial Disc Replacement + ACDF Same Op Session

[QUOTE="katic23, post: 295218, member: 92632"]Hello, We received a pre-determination and a pre-authorization from Highmark BCBS for a combo single level artificial disc replacement, plus a single lev... [ Read More ]

Artificial Disc Replacement + ACDF Same Op Session

Hello, We received a pre-determination and a pre-authorization from Highmark BCBS for a combo single level artificial disc replacement, plus a single level ACDF to be performed in the same operative ... [ Read More ]

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