New Spinal Cage Codes – 2017

January 5, 2017

Question:
I see that CPT code +22851, Application of intervertebral biomechanical device(s) to vertebral defect or interspace was deleted effective 1/1/17. What code do I now use?

Answer:
Three codes have been added to CPT 2017 to replace +22851:

  • +22853 is used for a device, with fusion, with or without integrated anterior fixation
  • +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation
  • +22859 is used for interbody device insertion without fusion

Note that +22853 and +22854 include the integral anterior instrumentation for device anchoring when that type of device is used. If you do not use integrated fixation, it is still the same codes, +22853 or +22854. If you use a separate plate, you may separately report a code such as +22845 when the plate meets the code criteria (e.g., the plate crosses the interspace, can provide independent stabilization, and can be used with any other type of interspace device).

To learn everything you need to know about the NEW 2017 CPT codes for spine surgery click here.

*This response is based on the best information available as of 01/05/17.

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