I am not really familiar with the ASPEN LANX device, so I would pose two scenarios and ask your physician. If the ASPEN LANX is actually an interspinous destraction device for stenosis, you would code as follows, 22633 (this code replaces 22612 and 22630 01/01/2012), 0171T 51, 20936, 20930 and 38220 51. If the ASPEN LANX is more like a spacer or a cage to hold the graft it would be: 22633, 63047 59, 22851, 20936, 20930 and 38220 51. It is my understanding that usually they use an interspinous destraction device to avoid doing a fusion so I suspect that scenario 2 is more correct but I would double check with your physician.
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