#Cerebrospinal fluid leak repair cpt code code#
Only one code no matter how many levels Removal and reinsertion of instrumentation, e.g. +22614 is the add on fusion code for each additional level, e.g. +22515 - each additional vertebral body 10 day global periodĪrthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression) thoracicĪrthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression) thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)Īrthrodesis, posterior or posterolateral technique, single level thoracic (with lateral transverse technique, when performed)Ģ2610 is the primary fusion code and refers to one level, e.g.
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance thoracic Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance cervicothoracic Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment each additional fractured vertebrae or dislocated segment (List separately in addition to code for primary procedure) Open reduction of thoracic spine fracture and/or dislocation posterior approach, 1 level Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment thoracic +22216 is for additional levels of osteotomies I&D of deep below fascia infection or abscess, thoracicĢ2212 can be used for Smith-Petersen or Ponte osteotomy it is a primary code and -51 modifier should be used as other higher value codes would typically precede this code Incision and drainage, open, of deep abscess (subfascial), posterior spine cervical, thoracic, or cervicothoracic Used for interbody device insertion without fusion Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure) Used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure) Used for a device, with fusion, with or without integrated anterior fixation
Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure) Use +22853 (interbody cage), +22854 (corpectomy cage), +22859 (any cage without fusion) instead. Some other payers may continue to use this code. This code as of 1/1/17 will no longer be used by Medicare. Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires) 7 to 12 vertebral segmentsħ to 12 vertebral posterior instrumented fixation List separately in addition to code for primary procedure Count vertebrae and not levels.Īpplication of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (list separately in addition to code for primary procedure) Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires) 3 to 6 vertebral segmentsģ to 6 vertebral posterior instrumented fixation List separately in addition to code for primary procedure Count vertebrae and not levels. Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation)Ģ vertebral posterior instrumented fixation List separately in addition to code for primary procedure Count vertebrae and not levels. Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy
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