Anterior Lumbar Interbody Fusion with fusion (ALIF) - 1 Level
- 22558 -Anterior lumbar interbody fusion
- 22845 - Anterior instrumentation
- 22853 - Insertion of device
- 20936 - Autograft
- 20930 - Allograft, morselized, or placement of osteopromotive material
What is the difference between CPT code 22630 and 22633?
What is the difference between CPT code 22630 and 22633? Code 22630 describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).
Is CPT 22558 inpatient only?
The “inpatient-only” service is denied, but payment is made for the separate procedure and any remaining payable OPPS services. The list of “separate procedures” is available with the integrated outpatient code editor (I/OCE) documentation.
What is the CPT code for anterior cervical fusion?
When anterior cervical fusions are performed, usually a discectomy is also performed. For dates of service in 2010 and before, two codes (63075 for the discectomy and 22554 for the fusion) were required. For 2011, CPT combined these two procedures into one new code.
What is CPT procedure?
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What is the CPT code for posterior spinal fusion?
Code 22630 describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).
What is the CPT code for iliac crest bone graft?
20937If a morcellized autograft is obtained through a separate incision, such as the iliac bone crest, use CPT 20937 and 38220-59.
What is the CPT code for transforaminal lumbar interbody fusion?
Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) procedures are coded 22630 for a lumbar initial interspace arthrodesis, posterior interbody technique, which includes a laminectomy and/or discectomy to prepare interspace (other than for decompression).
What is the CPT code for laminectomy?
CPT Code 63030 is defined as laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; one interspace, lumbar (including open or endoscopically-assisted approach) and; Code 63047, laminectomy, facetectomy and ...
Where is the iliac crest?
pelvisThe iliac crest is the ilium's top border, the largest of the three bones that make up the pelvis. The ilium bone has two parts: the body and the wing. To feel your ilium crest, put your hand on your waist and press firmly. You will feel a bony surface.
How do you take bone graft from iliac crest?
The different methods for harvesting iliac bone graft include curettage, trapdoor or splitting techniques for cancellous bone, and the subcrestal-window technique for bicortical graft. A tricortical graft from the anterior ilium should be taken at least 3 cm posterior to the anterior superior iliac spine (ASIS).
What is interbody fusion of the spine?
An interbody fusion is a type of spinal fusion that involves removing the intervertebral disk. This type of fusion can be performed using different approaches. For example, the surgeon can access the spine through incisions in the lower back or through incisions in the side.
How would you code vertebral fusions spinal fusions?
Two codes are assigned for the anterior spinal fusion, as two levels of the spine were fused (L4-L5 and L5-S1). The codes for the anterior spinal fusion are 0SG00AJ (L4-L5) and 0SG30AJ (L5-S1). Two codes are also assigned for the posterior spinal fusion, 0SG0071 (L4-L5) and 0SG3071 (L5-S1).
Is laminectomy the same as decompression?
Cervical laminectomy Laminectomy is surgery that creates space by removing the lamina — the back part of a vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.
What is the difference between laminectomy and laminotomy?
The procedures In a laminotomy, your doctor makes a hole in the lamina and removes a small piece of the bone. In a laminectomy, your doctor removes most of the bone.
What procedure is often performed with a laminectomy?
A laminotomy is performed to remove a herniated disc during a microdiscectomy or to allow the surgical treatment of a synovial cyst. Foraminotomy: Nerves enter and exit the spinal canal through specialized gaps in spinal joints called foramina.
What is a laminectomy procedure?
Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). This helps ease pressure on the spinal cord or the nerve roots that may be caused by injury, herniated disk, narrowing of the canal (spinal stenosis), or tumors.
What is 22558 in medical terms?
Here's what occurs when 22558 is being performed: The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a herniated, or bulging , disk, or other spinal condition .
What is 20930 code?
Coding Tip! Code 20930 is an add on code and used for specified spinal procedures only.
What is the code for a morcellized autograft?
Usually codes 20936 or 20937 are used for Morcellized Autograft being used to fill in around the cages. Bill the implant supply with code L8699. Billing Guideline from UHC. Payment for 22867, 22868, 22869 and 22870 will be an inclusive payment.
What is the CPT code for laminectomy?
It is expected that the members have not previously received a laminotomy or laminectomy at the same level of the spine as the IPD®.Services performed on members who have received another spinal procedure such as any spinal instrumentation (CPT codes 22840-22849) and laminectomy or laminotomy (CPT codes 63001-63048) may be subject to denial and will be reviewed by the medical director on an individual case basis. If inpatient level of care is requested for this procedure, the request will need to be reviewed by the Medical Director for medical necessity.#N#Cages used in Spine Surgery
General Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Article Guidance
This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33382 Lumbar Spinal Fusion for Instability and Degenerative Disc Conditions provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.
Bill Type Codes
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Revenue Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
