When is it OK to “Unbundle” 22845 from 22853?

Question:

When is it acceptable to use modifier 59 on 22845 to unbundle it from 22853?

Answer:

To “unbundle” +22845 from +22853 and have it separately paid, you will report +22845 with modifier 59.  This is appropriate if you use a completely separate plate that spans the interspace, it can provide independent stabilization, and is not considered integral to the intervertebral device (+22853).

*This response is based on the best information available as of 07/26/18.