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With the recent code changes to spinal surgery, the new codes 22853, 22854, 22859 indicate that the anterior instrumentation is included in these codes and you should not use the segmental spinal instrumentation codes set in addition to the above codes. However, I have read an article that was put out by the North American Spine Society that states "if separate anterior instrumentation is inserted, it is appropriate to code for both the interbody device and the anterior instrumentation with the appropriate modifier (-59)", (Spineline, 2017).
I was always under the impression that you could not add a modifier to an add on code. Is this correct, or can you use a modifier to an add on code? I look forward to a response. Thank you.
References
Blassier, R. D., M.D., Cheng, J., M.D., Lahey, D., RNFA, Mitchell, W., M.D., & Swartz, K., M.D. (2017, April). Coding for Spinal Interbody Biomechanical Cages and Devices. doi:www.SPINELINE-DIGITAL.ORG
I was always under the impression that you could not add a modifier to an add on code. Is this correct, or can you use a modifier to an add on code? I look forward to a response. Thank you.
References
Blassier, R. D., M.D., Cheng, J., M.D., Lahey, D., RNFA, Mitchell, W., M.D., & Swartz, K., M.D. (2017, April). Coding for Spinal Interbody Biomechanical Cages and Devices. doi:www.SPINELINE-DIGITAL.ORG