Wiki Spine surgery

barelybe

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Please help with CPT codes: C4-C5 cervical stenosis
1.Arthrodesis via anterior interbody technique C4-C5
2.Application of intervertebral biomechanical device C4-C5
3.Anterior instrumentation C4-C5
4.Intraoperative microscope

Through transverse incision centered above clavicle left side of cervical fascia. First performed deskectomy at the C4-5 level back to level of uncovertebral joints. this performed without incident and a complete decompression was performed after taking down stenosis at the C4-5 level posteriorly at the level of the spinal cord proper and the exiting nerve roots. Next, using DePuy guide, I placed a size 7 bone dowel acting as intervertebral biomechanical device at the C4-5 level. anterior instrumentation consisting of a skyline plate was placed across the C4-5 level. anterior instrumentation was then deployed through the plate and final locking was performed.
 
maybe take a look at these codes

22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

+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)

Hope this points you in the right direction...I looked this up by "Decompression" in the CPT index

*edit*

I also believe the intraoperative microscope does bundle.

Haven't coded one of these surgeries in a month
 
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