I have seen a couple posts regarding 22845 anterior instrumentation coding with new 2017 code 22853 interbody device with integral instrumentation but am still confused regarding when the plate can be coded separately.
Upon reading previous posts, if using combo interbody/plate such as Prevail Cage then the instrument would not coded separately.
How will coder know if the interbody/plate is a combo type device or independent stabilization and not integral?
OP Note
1. Anterior cervical decompression C6-7
2. Arthrodesis PEEK cage filled with local autograft and DBX
3. Intrumented fixation with plate and 4 screws
Simplified Description of Cage and Plate:
6mm Bengal cage placed after filling with pt bone and DBX. We flattened anterior vert. body in prep for plate. We tried differ size plates. The 14 mm Skyline plate was good fit and placed four 14 mm self drilling screws.
Thank you for guidance and clarification.
Upon reading previous posts, if using combo interbody/plate such as Prevail Cage then the instrument would not coded separately.
How will coder know if the interbody/plate is a combo type device or independent stabilization and not integral?
OP Note
1. Anterior cervical decompression C6-7
2. Arthrodesis PEEK cage filled with local autograft and DBX
3. Intrumented fixation with plate and 4 screws
Simplified Description of Cage and Plate:
6mm Bengal cage placed after filling with pt bone and DBX. We flattened anterior vert. body in prep for plate. We tried differ size plates. The 14 mm Skyline plate was good fit and placed four 14 mm self drilling screws.
Thank you for guidance and clarification.