Reader Questions: Treat TLIF as Posterior Fusion
- Published on Wed, Oct 15, 2008
Question: Which CPT code describes TLIF?
Answer: For a transforaminal lumbar interbody fusion, or TLIF, you should select 22630 (Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace [other than for decompression], single interspace; lumbar) for the first interspace the surgeon fuses, with add-on code + 22632 (- each additional interspace [list separately in addition to code for primary procedure]), as required, for each additional lumbar interspace the surgeon fuses beyond the first.
TLIF describes an alternative to other fusion methods, such as anterior lumbar interbody fusion (ALIF) and posterior lumbar interbody fusion (PLIF), and may offer advantages over those approaches for some patients.
You would report a PLIF using the same codes as for a TLIF (22630 and 22632). For an ALIF, however, you would access 22558 (Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace [...]
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