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Posterior Lumbar Interbody fusion L2-3, L3-4: revision lumbar fusion L4-5

Susan Posted Tue 28th of June, 2016 12:39:59 PM
My question is PLIF I would use 22633 and 22634, the revision would be coded 22612. Removal and reinsertion of the hardware at L4-5 would be 22849 and the hardware for L2-3 and L3-4 would be coded 22842. Is this correct?
SuperCoder Answered Wed 29th of June, 2016 03:50:47 AM
The correct code for PLIF is 22630 and 22632 (CPT 22633 and 22634 is used for Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique). For PLIF revision correct code is 22830 (22612 is incorrect as it is used for Arthrodesis, posterior or posterolateral technique). For removal and reinsertion of the hardware at L4-5, please code CPT code 22849 and hardware implantation at L2-3 and L3-4 has been coded correctly as 22842. NOTE:As per NCCI, removal of instrumentation (22850, 22852, 22855) is not reported separately when performed with reinsertion of a spinal fixation device at the same spinal levels.

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