Question INTERSPINOUS PROCESS CLAMP WITH FUSION

Jackie2113

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Hello all,

I'm having some trouble with this surgery. My surgeon is using a coflex device for fusion (as stated in his op note). CPT code 22867 specifically states w/out fusion. I just want to make sure that all I can code in this case is the 22867 alone with 20930 and 20936? Of course 22612 and 22867 can't be billed together at the same level but, are there any other options in this case?
Thanks for you help
Operative note below:
4227
 

amandamkcj

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Per documentation from Zupko/AANS seminar book 2019: CPT 22867-22870-If arthrodesis is performed, then the device is reported with an unlisted code 22899 instead of 22867-22870. You maynot report codes 22867-22870 with other spine procedure codes including specific arthrodesis, instrumentation and decompression codes.

SO based upon that information with your note above I would use 22899 and then code out the fusion etc and don't report 22867 at all.
Hope this is helpful
 
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