Spine Fracture Repair and Decompression

Spine Fracture Repair and Decompression

August 6, 2020

Question:
How do I code for repair of a C6-7 fracture/dislocation where I did a laminectomy for decompression to repair the fracture as well as an arthrodesis?

Answer:
You’ll use CPT 22326 (Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical) for the open cervical fracture/dislocation repair. Additionally, you may report codes for the arthrodesis (e.g., 22600), instrumentation (e.g., +22840) and bone graft (e.g., +20936). Do not separately report a decompression code (e.g., 63001) for the laminectomy at the same level of the fracture repair procedure (22326).

*This response is based on the best information available as of 8/6/20.

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