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 disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)
Code +22853 is one of several new codes within the spine section for the insertion of biomechanical devices that replace deleted code +22851 (Application of intervertebral biomechanical device ...). The new add-on codes are more specific regarding the type and location of the biomechanical devices.
CPT® guidelines direct you to report +22853 for each treated intervertebral disc space.
Report +22853 in addition to the definitive procedure(s) since it is an add-on code.
Do not append modifier 62 (Two surgeons) to 22853.
22854 Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)
Code +22854 is one of several new codes within the spine section for the insertion of biomechanical devices that replace deleted code +22851 (Application of intervertebral biomechanical device...). These new add-on codes are more specific regarding the type and location of the biomechanical devices.
CPT® guidelines state that you can report +22854 more than once for noncontiguous defects.
Do not append modifier 62 (Two surgeons) to +22854.
Report +22854 in addition to the definitive procedure(s) since it is an add-on code.
22859 Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)
Code +22859 is one of several new codes within the spine section for the insertion of biomechanical devices that replace deleted code +22851 (Application of intervertebral biomechanical device...). These new add-on codes are more specific regarding the type and location of the biomechanical devices.
CPT® guidelines state that you can report +22859 more than once for noncontiguous defects.
Do not append modifier 62 (Two surgeons) to +22859.
Report +22859 in addition to the definitive procedure(s) since it is an add-on code.
22867 Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
Code 22867 is one of two codes that replace deleted temporary code 0171T (Insertion of posterior spinous process distraction device ...; single level).
For an additional level during the same session, report +22868 (Insertion of interlaminar/interspinous process stabilization/distraction device...second level).
CPT® guidelines state that you cannot report 22867 in conjunction with certain other spinal instrumentation procedures for the same level; check CPT® guidelines to avoid reporting this code with a prohibited code.
CPT® guidelines direct you to see 22869, 22870 for insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion.
22868 Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)
Code +22868 is one of two codes that replace deleted code +0172T (Insertion of posterior spinous process distraction device ... each additional level...).
Report +22868 in conjunction with 22867 (Insertion of interlaminar/interspinous process stabilization/distraction device...; single level).
CPT® guidelines state that you cannot report +22868 in conjunction with certain other spinal instrumentation procedures for the same level; check the guidelines for prohibited codes.
CPT® guidelines direct you to see 22869, 22870 for insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion.
22869 Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level
Code 22869 is one of two codes that replace deleted temporary code 0171T (Insertion of posterior spinous process distraction device...).
For each additional insertion, use +22870 (...second level) in conjunction with 22869.
22870 Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code for primary procedure)
Code +22870 is one of two codes that replace deleted code +0172T (Insertion of posterior spinous process distraction device...; each additional level ...).
Report +22870 with 22869 (Insertion of interlaminar/interspinous process stabilization/distraction device...; single level) as the primary procedure