When is it OK to “Unbundle” 22845 from 22853?

When is it OK to “Unbundle” 22845 from 22853?

July 26, 2018

When is it acceptable to use modifier 59 on 22845 to unbundle it from 22853?

To “unbundle” +22845 from +22853 and have it separately paid, you will report +22845 with modifier 59.  This is appropriate if you use a completely separate plate that spans the interspace, it can provide independent stabilization, and is not considered integral to the intervertebral device (+22853).

*This response is based on the best information available as of 07/26/18.

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