Replacement Code for “Interbody Cage for Disc”

Question:

I see that CPT code 22851 – Application of intervertebral biomechanical device(s) to vertebral defect or interspace was deleted in 2017. What code do I use in 2017 for placement of an interbody cage for disc that does not have integral fixation and is being used for fusion? I see the new codes 22853 and 22854 both say with integral anterior instrumentation device for anchoring.

Answer:

Three codes have been added to CPT 2017:

• 22853 is used for interbody device insertion, with fusion, with or without integrated anterior fixation
• 22854 is used for interbody device insertion for corpectomy, with fusion, with or without integrated anterior fixation
• 22859 is used for interbody device insertion without fusion

Your options will be 22853 or 22854, depending on whether performing corpectomy. 22853 and 22854 both say “with integral anterior instrumentation for device anchoring when performed.”If you do not use integrated fixation, it is still the same codes. If you use a separate plate, that would be reportable when specific criteria are met (e.g. the plate crosses the interspace, can provide independent stabilization, and can be used with any other type of interspace device.)

*This response is based on the best information available as of 01/05/17.