icd 10 code for anterior lumbar interbody fusion

What is the ICD 10 code for lumbar fusion?

If we use this 0SG1070 you’ve got a fusion of 2 or more Lumbar Vertebral Joints with this tissue from your own body substitute. Anterior Approach (that means from the front), Anterior Column, Open Approach; that’s the 70. This was again, so much information that I wanted you to get to see, so it’s small.

What is the ICD 10 code for cervical fusion?

Oct 01, 2021 · Fusion of spine, lumbar region. M43.26 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M43.26 became effective on October 1, 2021.

What is intervertebral joint fusion code?

May 27, 2016 · ICD-10-PCS Code for ALIF or Anterior Lumbar Interbody Fusion Procedure https://www.cco.us/icd-10-procedural-coding-system-course-ytQ: “I’m getting confused t...

What is the CPT code for anterior spinal fusion?

Feb 22, 2022 · The ICD-10-PCS code for robotic assisted procedure on the spine is 8E0W0CZ – Robotic Assisted Procedure of Trunk Region, Open Approach. (Check each surgery for correct approach) BMP vs Bone Putty Sometimes surgeons use BMP which is bone morphogenic protein in their fusion surgeries.

What is the CPT code for Anterior Lumbar Interbody Fusion?

22558Despite the use of lateral in its name, XLIF is more appropriately described as an anterior retroperitoneal approach (albeit one that uses a specialized retractor). To report these lumbar interbody fusion procedures, report ALIF code 22558.Dec 1, 2008

What is the ICD-10-PCS code for Fusion?

Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach. ICD-10-PCS 0SG00A0 is a specific/billable code that can be used to indicate a procedure.

How do you code a spinal fusion?

The codes for the anterior spinal fusion are 0SG00AJ (L4-L5) and 0SG30AJ (L5-S1). Two codes are also assigned for the posterior spinal fusion, 0SG0071 (L4-L5) and 0SG3071 (L5-S1). Codes 0SB20ZZ and 0SB40ZZ are also assigned for the discectomy performed at two different levels of the spine.

What is the ICD 10 code for Acdf surgery?

Fusion of Cervical Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach. ICD-10-PCS 0RG10K0 is a specific/billable code that can be used to indicate a procedure.

What is considered an interbody fusion device?

Types of Instrumentation/Devices: Pedicle screws—these are inserted during a posterior approach. These provide no stability alone, but provide attachment points for the rods that will be inserted. Cages—these are oftentimes referred to as interbody fusion devices.Sep 23, 2019

What is an interbody fusion device?

An interbody fusion cage (colloquially known as a "spine cage") is a prosthesis used in spinal fusion procedures to maintain foraminal height and decompression. They are cylindrical or square-shaped devices, and usually threaded.

What is the ICD 10 code for history of spinal fusion?

Z98. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is a transforaminal lumbar interbody fusion?

A Transforaminal Interbody Lumbar Fusion is a particular type of fusion, or surgical procedure that permanently fuses, or unites, bones of the spine. The fusion is achieved using bone graft: bone material either acquired from a bone bank or transplanted from elsewhere in the patient's own body.

What is the difference between CPT code 22612 and 22633?

Code 22633 was introduced to to represent the combination of 22630 and 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed) at the same level.Aug 28, 2018

What is the ICD-10 code for right ankle fusion?

0SGF05ZICD-10-PCS Code 0SGF05Z - Fusion of Right Ankle Joint with External Fixation Device, Open Approach - Codify by AAPC.Oct 1, 2015

Is a kyphoplasty a fusion?

The goal of the surgery is to fuse and repair the fracture, eliminate back pain, and restore posture and ease of movement. The most common surgical procedures for spinal compression fractures are lumbar fusion and vertebroplasty/kyphoplasty. In a lumbar fusion, the vertebrae are connected with rods.

Is a laminectomy the same as a fusion?

Laminectomy (removal of lamina bone) and diskectomy (removing damaged disk tissue) are both types of spinal decompression surgery. Your provider may perform a diskectomy or other techniques (such as joining two vertebrae, called spinal fusion) during a laminectomy procedure.Jan 11, 2021

Anterior Interbody Fusion and Posterior Fusion and Approaches

In many of the cases we reviewed, the surgeon performed an anterior OPEN approach dissecting down to the anterior spine. Sometimes this was an OLIF or Oblique Lateral approach which is an anterior approach. Many times robotics or a robot is used AND stereotactic navigation are used and both of these codes should be reported on this day.

Total vs Partial Removal of Intervertebral Disc

As coders know, if the entire disc is removed, this is coded to “Resection” root operation for the site of the disc removal i.e., cervical, cervicothoracic, thoracic, thoracolumbar, lumbar, lumbosacral. If there is not documentation of total removal of the intervertebral disc, then code to root operation “Excision.”

Decompression

A decompression of a nerve root, spinal cord OR BOTH may or may not be done during a spinal fusion. Identify the level released – Cervical, Thoracic, Lumbar, Sacral and code ONCE per level release.

Stereotactic Navigation

In the cases we reviewed, most of the time, stereotactic navigation was used. This is code 8E0WXB-Computer Assisted Procedure of Trunk Region, with the last character value telling us what the stereotactic navigation was used with:

Robotic or Robot Assistance

In some of the cases we reviewed, a robot was used during the anterior open interbody fusion. The surgeon does not always use a robot. One example is the Mazor Stealth edition. The surgeon actually documented this as a procedure in the list on the operative report.

BMP vs Bone Putty

Sometimes surgeons use BMP which is bone morphogenic protein in their fusion surgeries. BMP is a protein that can stimulate the production of bone and cartilage. A brand name coders may see is INFUSE. BMP is considered allograft. **Coding BMP is optional depending on the facility (CC1Q2018 p.8).

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim lacking the necessary information to process that claim

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Lumbar Spinal Fusion L37848.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33382 Lumbar Spinal Fusion for Instability and Degenerative Disc Conditions provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.