Spinal instrumentation code +22851 has been deleted and replaced with three new codes for specific circumstances:
- For integral anterior instrumentation for device anchoring to intervertebral disc space interbody fusion;
- For integral anterior instrumentation for device anchoring to vertebral corpectomy(ies) defect interbody fusion;
- For intervertebral dis space or vertebral body defect stabilization without interbody fusion
This differentiation of biomechanical device insertion distinguishes the different work, materials, and anatomy.
| Deleted Code | New Code | Primary Procedure |
| 22851 | +22853, +22854, +22859 | 22100-22102, 22110-22114, 22206, 22207, 22210-22214, 22220-22224, 22310-22327, 22532, 22533, 22548-22558, 22590-22612, 22630, 22633, 22634, 22800-22812, 63001-63030, 63040-63042, 63045-63047, 63050-63056, 63064, 63075, 63077, 63081, 63085, 63087, 63090, 63101, 63102, 63170-63290, 63300-63307 |
Report 22853 for each treated intervertebral disc space.
22853, 22854, 22859 may be reported more than once for non-contiguous defects.
Do not use with modifier 62.
In addition, Category III codes 0171T and 0172T were replaced with four new Category I codes: 22867-2870. These codes more specifically differentiate differing types of spinal instrumentation that may be used. At the same level, do not report with:
- Arthrodesis (posterior, anterior)
- Laminectomy/Laminotomy
- Vertebrectomy
- Diskectomy
- Imaging guidance for needle/catheter placement for diagnostic or therapeutic injection.