Nicole Posted Tue 07th of August, 2018 23:59:18 PM
Disc material removed at C3-4 level. Uncovertebral joints drilled out. There was a sequestered disc that herniated inferiorly and part of the vertebral body of C4 was cleared and drilled out further. Foraminotomies were completed at both levels. PEEK cage was sized and packed with morselized allograft & autograft and anchored into the endplates under fluoroscopic visualization. So basically a C3-4 ACDF and C4 Corpectomy. Are the correct codes: 63081, 22554, 22845, 22853, 20930, 20936, 77003
SuperCoder Answered Wed 08th of August, 2018 03:48:38 AM
Thank you for your question.
You are correct with your suggested CPT® codes.
Please note, the provided documentation does not include information about anterior instrumentation. Kindly check your detailed operative note for part of anterior instrumentation procedure; if performed.
Note: If anterior instrumentation was performed basis the detailed operative report, then append modifier-59 to CPT® code 22845 as it is showing CCI edit conflict with CPT® code 22853.
Please feel free to ask any further question.