Wiki CPT code 22845 with 22851

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clgrn1@gmail.com

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Is separate reimbursment allowed for 22851 with 22845 or would this be inclusive of 22845?
An guidance and references are appreciated.
Thanks,
Cindy
 
Yes. These can be reported together.

If different instrumentation is used in addition to the metal cages or methylmethacrylate through the same approach (eg, an anterior plating system) or pedicle screws and posterior lumbar interbody fusion utilizing cages, then the appropriate instrumentation code would be reported in addition to code 22851. However, 22851 and 22845 should not both be reported if only the metal cage is inserted.”


http://www2.aaos.org/aaos/archives/bulletin/oct04/code.htm
 
RebeccaWoodward* said:
Yes. These can be reported together.

If different instrumentation is used in addition to the metal cages or methylmethacrylate through the same approach (eg, an anterior plating system) or pedicle screws and posterior lumbar interbody fusion utilizing cages, then the appropriate instrumentation code would be reported in addition to code 22851. However, 22851 and 22845 should not both be reported if only the metal cage is inserted.”


http://www2.aaos.org/aaos/archives/bulletin/oct04/code.htm
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It is to my understanding that when billing an ACDF, 22845 would NOT be separately billable in additon to 22851 if the purpose of the additional instrumentation i.e. screws, plating is to only stabilize the cage. Anybody have any additional information in regards?
 
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