spinal CPT® codes

phy performed inferior C4 and superior C5 corpectomy , with arthordesis C4-5, application of intervertebral spacer, with Anterior plate
patient dx post laminectomy syndrome- help
I get 63081, 63082, 20554 and then i get lost

Mar 7th, 2012 -

re: spinal CPT® codes

First off, to report a corpectomy; at least 1/2 of the vertebral body must be removed in the cervical area. Assuming this is the case you would have
63081 C4 corpectomy
63082 C5 corpectomy
22554 C4-C5 arthrodesis
22851 x2, if a cage was inserted into both C4 and C5
22845 Anterior plate
Check to see if any local bone was used to fill in the cages, if so can also bill 20936.
Bonnie Moeller
Ft Wayne Neurosurgery/PMR/NeuroSpine&Pain Surgery Center