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Thread: add-on coding for fusion

  1. #1

    Default add-on coding for fusion

    AAPC: Back to School
    I need clarification on how to apply add-on codes for a fusion that that went from T10 toL4

    I'm using primary codes 22610 and 22612. One of my colleague’s states we should use
    +22843 with 22610. I'm thinking we should use +22842 with 22610 and again for 22612.

    One correct? Both wrong? What's correct?

  2. #2


    In the AANS course and from everything I have learned, you dont use to primary codes when crossing areas of the spine. If the dr. is fusing T10 - L4, the majority of the vertebra being fused are lumbar and the reimbursement is generally higher for lumbar so it would be appropriate to code, 22612 (L3-L4) and 22614 x 5 (L2-3, L1-2, T12-1, T11-12 and T10-T11) I would use 22843 for the instrumentation code.


  3. #3


    Thank you for the response. I am so glad some one put me on the right track!!!

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