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Wiki Corpectomy and fusion codes

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Kstrobel

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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 arthrodesis, C4-C6, with Ulrich expandable titanium cage and morcellized autograft.
4. Anterior plating C3 through T1 with Orthofix Hallmark titanium plate.
5. Harvest autograft through the same incision.
I am confused how to code a corpectomy with fusion and the addition of the of other levels of anterior discectomies/fusion. Do I use 22554, 22854 and 22551,22552,22853 x2?
Appreciate any help and guidance!
 
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-22554-59(CCI edit w/22551)
C5-6 ACF-22585-59(CCI edit w/22551)
C3-4 ACDF-22551
C6-T1 ACDF-22552 x2-59(CCI edit w/22554)
Plate-22846-59(CCI edit w/22854 and 22853)
C5 PEEK Cage-22854
ACFD cages-22853x3
Graft-20936

Hope this helps!
 
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