I&D of deep below fascia infection or abscess, lumbosacral Incision and drainage, open, of deep abscess (subfascial), posterior spine lumbar, sacral, or lumbosacral I&D of Deep Infection Posterior Spine, Cervical Lumbar I&D of deep below fascia infection or abscess, cervical Incision and drainage, open, of deep abscess (subfascial), posterior spine cervical, thoracic, or cervicothoracic Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection) single interspace, cervicalīiopsy, vertebral body, open lumbar or cervical Use 22554 instead of +22551 if no decompression was done such as in traumaĪrthrodesis, anterior interbody technique, including mmimal discectomy to prepare interspace (other than for decompression) each additional interspace (List separately in addition to code for primary procedure)Īrthrodesis, posterior or posterolateral technique, single level cervical below C2 segmentĪrthrodesis, posterior technique, atlas-axis (C1-C2) Use +22853 (interbody cage), +22854 (corpectomy cage), +22859 (any cage without fusion) instead.Īrthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots cervical below C2Īnterior Cervical Discectomy and Fusion (ACDF)Īrthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots cervical below C2, each additional interspace (list separately in addition to code for separate procedure)Īrthrodesis, anterior interbody technique, including mmimal discectomy to prepare interspace (other than for decompression) cervical below C2 Some other payers may continue to use this code. This code as of 1/1/17 will no longer be used by Medicare. >2.5-3.Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (list separately in addition to code for primary procedure). part of a secondary survey or under the guidance of an authorized physician ensure this radiographic series is safe to perform, i.e.patients who feel unstable on their feet can sit in a chair for this examination.ensure the patient is aware when the examination is over as to avoid extended periods of time in that position.demonstrate to the patient what flexion and extension is before performing.extension images should demonstrate crowding of the spinous process.flexion images should demonstrate well separated spinous process.the image is labeled as 'flexion' or 'extension'.there should be clear visualization of C7 to T1.2.5 cm above the jugular notch at the level of C4.the patient will have the neck in the extended (chin up) or flexion (chin down) position depending on the projection.the detector is placed portrait, parallel to the long axis of the cervical spine on the patients left side.the patient is erect, left side against the upright detector.Note, such functional views should not be performed on trauma patients without the strict instructions of a qualified clinician. These views are specialized projections often requested to assess for spinal stability.
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