Home » IR procedure » Coding Guide for New CPT codes 22867, 22868, 22869 and 22870

Coding Guide for New CPT codes 22867, 22868, 22869 and 22870

To increase the space within the neural foramen and release nerve pressure to decrease pain, interspinous/interlaminar process stabilization/distraction device is placed. Interspinous device is placed within the vertebral spinous processes. Interlaminar devices are placed between adjoining lamina and spinous process. New CPT code 22867, 22868, 22869 and 22870 are used for these procedures. Earlier old codes 0171T & +0172T were used for Coding these procedures. It is very important to be remain update with new codes, to improve your coding skills in surgery facility. Already there have been many new CPT codes introduced in 2017.  

Coding Guide for New CPT codes 22867, 22868, 22869 and 22870

In this exam, the devices are inserted through small incision in the spinous process. For procedure code 22867, open decompression or laminectomy is also performed. During this procedure, the lamina of the affected area is removed to release pressure on the spinal cord and nerves. CPT code 22867 is first coded for the insertion of these devices in addition to open decompression of a lumbar vertebra without fusion. Use add-on code 22868 when the same exam is performed on the second vertebral level. All the imaging guidance are included in these procedure codes.

Get FREE CEUs here!

22867Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level

22868Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)

The insertion of interlaminar or interspinous process devices when performed without open decompression, then we have to use CPT code 22869 and 22870. For initial Lumbar vertebra, use CPT code 22869 and, for each additional vertebra use add-on code 22870. Imaging guidance should not be reported separately, they are included in the procedure codes.

22869Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level

22870Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code for primary procedure)