Lately I've had a few cases where the surgeon did a revision posterior interbody fusion (22630) and removed or replaced an interbody spacer.
In the case the spacer is replaced, I'm wondering whether to code 22630 and 22851 (billing for the new spacer, but not the removal of the old one) or bill 22630 and 22849-51. I'm not sure whether the spacer is considered a "spinal fixation device."
In the case that the spacer was removed, but not replaced, is it billable at all or bundled with the fusion? If billable, I'm having difficult locating a code that's appropriate for the removal of this device.
Thanks for any help!
In the case the spacer is replaced, I'm wondering whether to code 22630 and 22851 (billing for the new spacer, but not the removal of the old one) or bill 22630 and 22849-51. I'm not sure whether the spacer is considered a "spinal fixation device."
In the case that the spacer was removed, but not replaced, is it billable at all or bundled with the fusion? If billable, I'm having difficult locating a code that's appropriate for the removal of this device.
Thanks for any help!