ACDF through separate incisions

valelim

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Chesapeake VA
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My physician performed an ACDF at C3-4 and then, through a separate incision, another one at C5-6 and C6-7. My question is, do I code this as 22551 and 22552 x 2? Or 22551 and 22551-59 with 22552 as there was a separate incision and one inter-space was skipped? Any advice is appreciated!
 

sarab86

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Fort Myers, FL
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If you are going to count this was one continuous fusion then you will need to count your instrumentation the same. The MUE for 22845 is 1 so you wont get paid for 2 separate plates. I have been battleing this issue for almost a year and finally recieved info from a conference to bill this as 22846 and I was paid. You will have to count from the top of the first fusion to the bottom of the last.
 
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