The Neurosurgery Coding Coach
KZA consultants discuss two frequently asked neurosurgery coding questions every month. Our coding experts are also available for hourly coding consultations and can provide a customized coding and documentation review for your practice.
April 16, 2009
Artificial Disc Surgery
Question: We did our first cervical artificial disc surgery and I would like to verify what we can bill. My doctors said the rep told them we could bill: 0090T for the artificial disc, 63075 for the decompression and 22554 because the fusion is not included in the placement of the artificial disc procedure. Can we also bill for the instrumentation (22845)?
Answer: Good news – there is a new cervical disc arthroplasty code in 2009:
22856 Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), single interspace, cervical
You’ll want to be sure to obtain written prior approval for this procedure as many insurance companies do not reimburse for this service.
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