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Diskectomy and Fusion HELP pls

  1. #1
    Default Diskectomy and Fusion HELP pls
    Medical Coding Books
    Can someone code this scenario for me please...

    we did a standard approach from left side and got on prevertebral fascia and went down on the old hardware, took out the hardware, got on the anterioir vertebral body of C5,C6,C7. We took ou the old hardware including the plate. Old hardware was removed, taking bilaterial instrumentation out of C5,C6,C7. Then did a anterior cervical diskectomy, going back to the posterioir longitudinal ligament, decomplresseed the neural foramina bilat, and did a complete diskectomy. Then did a cervical fusion at C4-C5 using a 8mm parallel Bengal Cage that was filled with autograft bone. The dura was decompressed using microscopic visualization. Then placed a 16mm Depuy skyline plate used to fix the anterioir cervical spine. then did a standard placement of a plate with hardware going at C5 as well as C4.

    Codes i got are, 22551,22851,22855
    Any help is appreciated.

  2. Default
    I would bill 22551, 22845 for the plate, 22855 for the removal, 22851 for the cage and 2093X for the graft. It is not cleare based on the documentation below what kind of graft was used. For graft from the hip it would be 20937, local is 20936, morselized is 20930, structural 20931.

  3. #3
    Thanks for the Help

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