Results 1 to 4 of 4

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
    Location
    Seattle First Hill
    Posts
    126
    Default
    I would code this as:

    63075
    63076 x 2
    22554
    22585 x 2
    22846

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

    Hope this helps!

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    I'm at home, without books, but what about the allograft? 20931. You would only report this one time per session.

  4. #4
    Default
    thanks for all your help.

Similar Threads

  1. Wiki Anterior cervical discectomy and fusion C4-C5, C5-C6, C6-C7
    By NESmith in forum Orthopaedics
    Replies: 19
    Last Post: 08-01-2017, 08:20 AM
  2. anterior+posterior fusion
    By JYSPA in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 07-21-2014, 06:04 PM
  3. Anterior cervical laminectomies
    By katie1241 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-09-2011, 08:35 AM
  4. Anterior Cervical Discectomy
    By todd5400 in forum Orthopaedics
    Replies: 0
    Last Post: 10-19-2010, 09:48 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.