An allograft is a purchased graft harvested from a cadaver, whereas an autograft is bone harvested from the patient’s own body. … Use code
20930 for a morselized allograft that is purchased
or code 20931 for a structural allograft that is purchased.
What is procedure code 20931?
CPT
®
20931, Under
General Grafts (or Implants) Procedures on the Musculoskeletal System
. The Current Procedural Terminology (CPT
®
) code 20931 as maintained by American Medical Association, is a medical procedural code under the range – General Grafts (or Implants) Procedures on the Musculoskeletal System.
What is the CPT code for posterior spinal fusion?
Code
22630
describes a posterior lumbar interbody arthrodesis, also known as fusion. Code 22633 describes a posterior lumbar interbody fusion and a posterolateral fusion performed at the same interspace and segment (also called spinal level, such as L4-L5).
What is a Morselized bone?
Autograft is defined as
bone tissue transferred from one site to another in the same individual
. Autograft has traditionally been the gold standard in bone grafting because it is proven and predictable. Autograft is an osteoconductive matrix and works because: Cells are harvested with the transplanted matrix structure.
What is the CPT code for bone grafting?
CPT code
25431
(Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone) states in its definition the instructions “includes obtaining graft and necessary fixation).
Can CPT code 63030 and 63047 be billed together?
Both CPT 63030 and CPT 63047 may be
reported independently of each other
when performed during the same operative session pending clinical documentation.
What is the CPT code 63047?
CPT 63047 involves not only
removal of lamina for central decompression
but also lateral recess decompression in the form of a facetectomy (e.g., medial, partial) and/or foraminotomy for nerve root decompression.
What is the difference between CPT code 22551 and 22554?
22551 is a newer code, created in 2011. Prior to that, if an ACDF was performed at a single level, you would report
63075 and 22554
. Since 2011, if an ACDF is performed at a single level, you report 22551 only.
Can CPT 22845 and 22853 be billed together?
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).
How do you code a spinal fusion?
The procedures to be coded are the posterior lumbar interbody fusion, discectomy, and harvesting of bone graft. The code for the posterior lumbar fusion is
0SG107J
, with the device value being 7 for autologous substitute. The code for the discectomy is 0SB20ZZ, with the root operation being Excision.
What is Osteopromotive material?
Osteopromotive describes
a material that promotes the de novo formation of bone
. … Such materials will contribute to new bone growth in an area where there is no vital bone, such as when implanted into muscle tissue.
What is the difference between segmental and Nonsegmental instrumentation?
Segmental fixation is “defined as fixation at each end of the construct and at least one additional interposed bony attachment.” The nonsegmental code is “defined as fixation at each end of the construct and may span
several vertebral segments without attachment
to the intervening segments.”
What are cancellous bones?
Cancellous bone is
the meshwork of spongy tissue (trabeculae) of mature adult bone
typically found at the core of vertebral bones in the spine and the ends of the long bones (such as the femur or thigh bone).
Does Medicare pay for 20930?
Medicare doesn’t pay us on 20930
and 20936.
Is allograft bone grafting?
The two most common types of bone grafts are: allograft, which
uses bone from a deceased donor
or a cadaver that has been cleaned and stored in a tissue bank. autograft, which comes from a bone inside your body, such as your ribs, hips, pelvis, or wrist.
What is the difference between CPT 20900 and 20902?
Usually what is meant by minor or small (20900) is the place selected (anatomy site) for the bone graft such as the radius for scaphoid fracture grafting; major or large (20902) is usually what is used for iliac crest or larger anatomy structures.
