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CPT® 22853, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT®) code 22853 as maintained by American Medical Association, is a medical procedural code under the range - Spinal Instrumentation Procedures on the Spine (Vertebral Column).

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Summary

The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides spinal stability, and yet preserves some range of motion, which helps relieve persistent pain caused by a herniated, or bulging, disk or other spinal condition. The provider performs this procedure during a spinal interbody arthrodesis procedure, which is fusion, or permanent joining, of vertebrae over the joint space.

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Spine Surgery Implant
This is difficult without the note. If I am reading and interpreting this correctly. The provider performed a PLIF with attempted insertion of the cage so I would code 22853-53.... [ Read More ]
PLIF
When dealing with disk herniation 63030 is the appropriate code. However, since it was performed at L3-L4 it's considered inclusive to 22633 and it shouldn't be reported separately. Since there was an... [ Read More ]
63047 or 63030
Based on the information provided, if 63030 was performed at L3-L4 it's considered inclusive to 22633 and it shouldn't be reported separately. Since there was an interbody fusion you should report 228... [ Read More ]
TLIF & PLIF
I need to do a prior authorization for a TLIF at L4-5 and a PLIF at L5-S1, I have coded for a PLIF by itself and a TLIF by itself but never together. PLIF and TLIF are both coded with 22633. I do n... [ Read More ]
Neurosurgery Question
I also have a case with a ACDF at C5/C6 with vertebral artery decompression. We are using 22551, 22845,59, 22853, 20930 along with an unlisted code of 22899 with 25% increase and we are using for com... [ Read More ]
Spine surgery
[QUOTE="amyjph, post: 508965, member: 172045"] Tough to say without the op note. Correct advice above, you can't code 22612 with 22633 per NCCI edits and guidelines. Read the NCCI manual Chapter IV mu... [ Read More ]
Spine surgery
Tough to say without the op note. Correct advice above, you can't code 22612 with 22633 per NCCI edits and guidelines. Read the NCCI manual Chapter IV musculoskeletal guidelines. L4-5 TLIF 22633 cage/... [ Read More ]
Spine surgery
Please tell me if I have coded this correctly and if I am missing any codes: T-Lif at L4-5 with implant 22633,22840,22853 and new code 63052 and 15777. Then he is going to do posterior lateral fusion ... [ Read More ]
Ambulatory Surgery Center "N1" codes
[QUOTE="SimpleCodingGirl, post: 506887, member: 54081"] I know this is true...however i don't have source information and a recent audited gave errors on every CPT codes issued that had a N1 indicato... [ Read More ]
Ambulatory Surgery Center "N1" codes
[QUOTE="thomas7331, post: 506101, member: 5404"] The codes should be billed for reporting purposes. Status code N1 is a payment indicator, not a coding guideline - it tells you how the payment is cal... [ Read More ]
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