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Anterior Cervical fusion with plating

  1. #1
    Default Anterior Cervical fusion with plating
    Medical Coding Books
    Hello everone,

    Wanting to make sure, I have the correct understanding for these arthrodesis and spinal instrumentation codes.

    Patient had c5-t1 disk herniation with spinal cord impingement

    MD performed diskectomy with fusion and plating at C5, C6, C7, T1
    He used allografts at each interspace. He used a 3-level plate with tapping screws. When complete he checked position with AP & lateral cervical spinal film.

    I coded the following:

    Diskectomy Codes used:
    63075 (c5-c6) Cervical
    63076 (c6-c7) Cervical Additional space
    63077 (c7-t1) Thoracic Single space Should this be another 63076?

    22554 Arthrodesis
    22585 additional space

    22846 spinal instrumentation (4-6 segments)
    Should this be 22842?

    Thanks for your help.

  2. #2
    Seattle First Hill
    I would code this as:

    63076 x 2
    22585 x 2

    The 22824 is for posterior instrumentation, so you are correct in using 22846, anterior.

    Hope this helps!

  3. #3
    North Carolina
    I'm at home, without books, but what about the allograft? 20931. You would only report this one time per session.

  4. #4
    thanks for all your help.

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