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CPT Code 22864

Helene Posted Wed 08th of July, 2015 14:38:29 PM

Our neurosurgeon is questioning the use of CPT code 22864 when he performed Exploration of previous insertion of artificial disk at C5-C6, Removal of same disc, preparation of inferior endplate C5-C6, Decompressive neurofoaminotomies bilaterally C6, insertion of interbody device at C5-C6. He wants to know why we can't bill both removal and replacement. Should a different code have been billed other than 22864? Neurosurgeon feels that he can bill 22864,22551,22851x2,22845,20930,20936,22552. Your help is greatly appreciated.

SuperCoder Answered Thu 09th of July, 2015 01:04:32 AM

On the basis of above documentation provided, i am assuming that a revision procedure was performed. CCI edits shows bundling of CPT 22551 into 22864. And if it a revision, please use CPT code 22861 instead of 22861. Also, CCI states that 22861 bundles 22864 and 22551.

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