How do you code a spinal fusion?

2021-06-18

How do you code a spinal fusion?

The codes for the anterior spinal fusion are 0SG00AJ (L4-L5) and 0SG30AJ (L5-S1). Two codes are also assigned for the posterior spinal fusion, 0SG0071 (L4-L5) and 0SG3071 (L5-S1). Codes 0SB20ZZ and 0SB40ZZ are also assigned for the discectomy performed at two different levels of the spine.

What is procedure code 22558?

The Current Procedural Terminology (CPT®) code 22558 as maintained by American Medical Association, is a medical procedural code under the range – Anterior or Anterolateral Approach Technique Arthrodesis Procedures on the Spine (Vertebral Column).

What is the ICD 10 PCS code for Fusion?

Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach. ICD-10-PCS 0SG00A0 is a specific/billable code that can be used to indicate a procedure.

What is the difference between CPT code 22630 and 22633?

Code 22630 describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).

What is the difference between CPT code 22612 and 22633?

Code 22633 was introduced to to represent the combination of 22630 and 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed) at the same level.

What is CPT code 22853?

CPT code 22853 is described as “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 …

Is CPT code 22614 an add-on code?

For example, code 22612 describes “arthrodesis, posterior or posterolateral technique, single level, lumbar,” but its add-on code, 22614, states that it reports “each additional vertebral segment.” Practices must look past the confusing terms to the actual anatomy of the vertebral bodies and their corresponding disc …

What is CPT code for TLIF?

22630
For posterior (PLIF) or transforaminal (TLIF) approach lumbar interbody fusions, CPT code 22630 is used, and the dissection needed to access the disc space in these approaches is considered an incidental component of the fusion procedure.

What is the ICD 10 code for scoliosis?

M41.9
M41. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Does 22633 include decompression?

From the AMA CPT guidelines, decompression when performed IS separately reportable with the inter-body fusion codes, 22630 and 22633. The point made in the original article is that a certain amount of laminectomy is required for the approach in order to perform the interbody fusion.

What is procedure code 22630?

The Current Procedural Terminology (CPT®) code 22630 as maintained by American Medical Association, is a medical procedural code under the range – Posterior, Posterolateral or Lateral Transverse Process Technique Arthrodesis Procedures on the Spine (Vertebral Column).