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CPT® 22854, Under Spinal Instrumentation Procedures on the Spine (Vertebral Column)

The Current Procedural Terminology (CPT®) code 22854 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(s) to cover one or more defects caused by the complete or partial removal (resection) of a vertebral body (corpectomy) and may use screws or flanges to attach it to the front of the vertebrae on either side of the defect where a partial or complete removal of a vertebral body was performed; the device helps maintain the distance between vertebrae. 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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Have a question about CPT Code 22854 ? Start a discussion here
Spine fusion coding
[QUOTE="stacyhope123, post: 498695, member: 708033"] Hello, Can someone help coding this procedure? [ATTACH type="full" alt="Coding.jpg"]5499[/ATTACH] [/QUOTE] I'm still pretty new to spine coding, bu... [ Read More ]
neurosurgery coding
Anterior will be 63081 (Corp C4) 22551-59 (ACDF C6-C7),22554-59 ( Fusion C4-C5),22846-59 when documented separate component of cage (plate C4-C7),22585-59 (fusion C5-C6),22854 (interbody defect devic... [ Read More ]
22854 vs 22853
[QUOTE="SheFergie08, post: 463365, member: 228169"] 22854 is used when a corpectomy is performed. 22853 is used when an interbody fusion is done. These are the most common cases in our group: 63081,... [ Read More ]
22854 vs 22853
22854 is used when a corpectomy is performed. 22853 is used when an interbody fusion is done. These are the most common cases in our group: 63081, 22554, 22854 or 63090,22558,22854 and 22558 and ... [ Read More ]
22854 vs 22853
Can you tell me when I bill 22854 over 22853? Thank You.... [ Read More ]
Corpectomy and fusion codes
Whats your DX? the corpectomy codes are DX driven. This is how I would codes this. C5 corp-63081 or 63301-depending on DX. Remember the corpectomy includes the disc work above and below. C4-5 ACF-22... [ Read More ]
Corpectomy and fusion codes
NAME OF PROCEDURE: 1. C5 corpectomy. 2. C3-4, C6-7 and C7-T1 anterior cervical diskectomy with fusion with polyetheretherketone interbody spacer and demineralized bone matrix allograft. 3. Anterior ... [ Read More ]
22845 ant. instrument w/ 22853 Interbody device w/ integral ant instrument
[b]Cpt 22853 & 22845[/b] [B]CPT Assistant March 2017 [/B]states the following: Code 22853 includes the integral anterior instrumentation for device anchoring that is part of some devices, such as a ... [ Read More ]
Using 59 to an add on code?
There is a new CMS Edit for 2017 that bundles 22845 to 22853/22854/22859 because when Anterior instrumentation is used with an Interbody device, you have to show that you used a separate plate and it ... [ Read More ]
Using 59 to an add on code?
With the recent code changes to spinal surgery, the new codes 22853, 22854, 22859 indicate that the anterior instrumentation is included in these codes and you should not use the segmental spinal inst... [ Read More ]
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