Anterior Spinal Fusion Coding

Spinal fusion coding varies upon various factors and one such factor is the approach. Anterior approach is one of the approached used for spinal fusion and here is an example of anterior spinal fusion coding.

 

PREOPERATIVE DIAGNOSIS(ES):
Cervical disk herniation, stenosis. myelopathy, radiculopathy, progressive axial
neck pain.
 

POSTOPERATIVE DIAGNOSIS(ES):
Cervical disk herniation, stenosis, myelopathy, radiculopathy, progressive axial
neck pain.
 

PROCEDURE:
1. Cervical 4-5 anterior decompression and fusion.
2. Cervical 5-6 anterior decompression and fusion.
3. Cervical 6-7 anterior decompression and fusion.
4. Cervical 4-5 anterior diskectomy with placement of PEEK interbody cage.
5. Cervical C5-C6 anterior diskectomy with placement of PEEK interbody cage.
6. Cervical 6-7 anterior diskectomy with placement of PEEK interbody cage.
7. Anterior plate instrumentation with a Spider titanium plate and self-tapping
screws anteriorly from C4-C5, C5-C6 and C6-C7.
8. Use of allografL

Dx         Code         Description
1        722.71        Cervical Disc Disorder w Myelopathy
2        723.0          Cervical Spinal Stenosis
3        723.4          Brachial Neuritis/Radiculitis NOS

Px         Code       Description         Date         Surgeon
1        81.02        Other Cervical Fusion Of The Anterior Column, Ant Tech               
2        84.51        Insertion Of Interbody Spinal Fusion Device               
3        81.63        Fusion Or Refusion Of 4 To 8 Vertebrae               
4        77.79        Excision Bone for Graft Site NEC               

CPT    Code        Description         
1        22551        Arthrd Ant Interbody Decompress Cervical Belw C2                       
2        22846        Anterior Instrumentation; 4 To 7 Vertebral Segments                       
3        22851        Application Intervertebral Biomechanical Device                       
4        22851        Application Intervertebral Biomechanical Device                       
5        22851        Application Intervertebral Biomechanical Device                       
6        22552        Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc                       
7        22552        Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc                       
8        20931        Allograft For Spine Surgery Only Structural