Spinal coding HELP!

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8
Location
Bridgeport, CT
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I have a claim from 2016 that insurance is battling us on. The patient was initially seen (as scheduled) for a ACDF levels C5-T1
the codes billed are:
22551-62
22552x2-62
22846
20931

The patient was in recovery and something happened where he lost all movement and feeling in his limbs so they brought him back to the OR on the same day and proceeded to preform the following:

63081-62-78-51
22554-62-78-51
22585-62-78
22849-62-78
22851-62-78
61783-78-59
38220-78
20936-78

the insurance company is denying the 63081 (2nd claim) against the 22551 (1st claim).
and 22552 (1st claim) against 22554 (2nd claim).
it is also denying 22849 and 22851.
is it typical that the insurance companies see both procedures as one whole claim? that is how it seems to me. can someone please help me understand possibly what is wrong here or give guidance to fight this? we have appealed and re-sent this claim corrected too many times. Any help is appreciated.
Thank you
 
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