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Amazing tips for New CPT codes +22853, +22854 and +22859

There are three new add-on codes in the spinal section for the insertion of biomechanical devices. These new CPT codes in 2017 have replaced the old deleted code +22851. The new add-on CPT codes are +22853, +22854 and +22859.  The old codes were not specific for the procedure performed. The new add-on CPT codes in 2017 are more specific in the type and location of the biomechanical devices. We have seen lot of new CPT codes for Epidural Steriod injection and for screening and diagnostic mammogram in 2017.  Since these are add-on codes, these codes should be used along with the major primary CPT code. All three CPT code +22853, +22854 and +22859 should be used in place of +22851 from the new year 2017.

Amazing tips for New CPT codes +22853, +22854 and +22859

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Description of CPT code +22853, +22854 and +22859

The code description is very specific for each CPT code. The device used in each procedure vary and also the location for insertion of the device.

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22853Insertion 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)

22854Insertion 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)

22859Insertion 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)

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CPT code 22853 and 22854 are to be used when a insertion of device is performed with fusion. Only when a corpectomy is performed along with fusion we have to use code 22854, and for without corpectomy and with fusion we have to report cpt code 22853. For procedure with insertion of a device without fusion, should be reported with CPT code 22859.

Do not append modifier 62 (Two surgeons) to +22853, +22854 and 22859.

Report +22853, +22854 and 22859 in addition to the definitive procedure(s) since all these are an add-on codes.