CPT^® 22867, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT^®) code 22867 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

Through an open approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous processes) on the back of adjacent vertebrae at one site in the lumbar spine to restrict painful motion (stabilize) or open up (distract) the neural foramina, relieving pressure on the nerve roots. The provider does not fuse (permanently join) the vertebrae.

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Have a question about CPT Code 22867 ? Start a discussion here

INTERSPINOUS PROCESS CLAMP WITH FUSION

my doctor removed an old loose spacer (vertiflex) and will replace with a new vertiflex device (22867), isn't the removal already included within the insertion code? or do we have to code the removal ... [ Read More ]

WHAT cpt code for interspinous spacer device removal?

any news with this? my doctor removed an old loose spacer (vertiflex) and will replace with a new vertiflex device (22867), isn't the removal already included within the insertion code? or do we have ... [ Read More ]

INTERSPINOUS PROCESS CLAMP WITH FUSION

Per documentation from Zupko/AANS seminar book 2019: CPT 22867-22870-If arthrodesis is performed, then the device is reported with an unlisted code 22899 instead of 22867-22870. You maynot report cod... [ Read More ]

INTERSPINOUS PROCESS CLAMP WITH FUSION

Hello all, I'm having some trouble with this surgery. My surgeon is using a coflex device for fusion (as stated in his op note). CPT code 22867 specifically states w/out fusion. I just want to make s... [ Read More ]

Medicare policy

Hello, we're just starting to perform this procedure and I wasn't able to locate a Medicare policy for 22867-22870. Could someone point me in the direction? Thanks... [ Read More ]

Spine Surgery Reference

[QUOTE="CoderinJax, post: 417328, member: 21412"]Excellent point, Sara. I've contacted manufacturer's myself (I'm an auditor for a large payer) and received information from them that I don't agree w... [ Read More ]

X stop removal code

Hello, Can someone pls help with finding the code for a removal of an X- stop at level L3-4, L4-5 ? I know the insertions have been updated in 2017 to 22867,22868,22869,22870 and that we used to use ... [ Read More ]

new ortho CPT codes

22853 Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral d... [ Read More ]

Coflex 0107T vs 22899

This item has been approved and has grown up codes for 2017: [url]http://blog.supercoder.com/coding-updates/do-you-know-when-to-choose-cpt-2017-lumbar-device-code-22867-instead-of-22869/[/url] BTW - ... [ Read More ]

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