ORIF Spine Fracture Codes

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May 29, 2014

Question:

When is it appropriate to use the posterior spine ORIF codes? I’ve got a patient with a degenerative pars fracture that I’m going to repair and I was looking at those codes.

Answer:

Actually, the posterior spine fracture open treatment codes, 22325-22328, should be used for treatment of traumatic spine fractures and/or dislocations rather than degenerative pathology. The spine fracture open treatment codes include any laminectomy performed at the same level(s), so you would not also bill a laminectomy code (e.g., 630xx). Look at the laminectomy for decompression codes (e.g., 630xx) for the procedure you’re planning to see if one of those codes meets your needs.