Zadarski Azil

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Arthrodesis anterior interbody technique including minimal discectomy to prepare interspace other than for decompression each additional interspace list separately in addition to code for primary

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Spinal fusion using extreme lateral interbody fusion XLIF or direct lateral interbody fusion DLIF is proven The North American Spine Society NASS recommends that anterior or anterolateral

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NOTE CPT codes 63030 and 63047 are bundled per National Correct Coding Initiative NCCI edits with code 22630 CPT Assistant January 2001 page 12 states that these codes can be reported in

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Interbody fusion is a surgical procedure that fuses 2 adjacent vertebral bodies of the spine Lumbar interbody fusion may be performed in patients with spinal stenosis and instability spondylolisthesis

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Question If the surgeon performs an extreme lateral interbody fusion XLIF at L3 L4 and a posterolateral fusion at L4 L5 would we report code 22533 for the XLIF and add on code

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CPT code 22534 is considered the add on code describing the procedure for each additional thoracic or lumbar vertebral segment If the physician performs this technique on

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CPT code 22534 is an add on code to describe each additional vertebral segment on which the arthrodesis using lateral extracavitary approach is performed after the first segment

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Additional graft material is injected into the rod where it enters into the disc space through holes in the axial rod A rod plug is then inserted to fill the cannulation of the axial rod Percutaneous placement

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Therefore while a surgeon can anteriorly approach the spine from a ventral or lateral approach both are described in CPT as an anterior anterolateral procedure In summary XLIF should be reported as