How To Use CPT Code 22854
CPT code 22854 describes the insertion of intervertebral biomechanical device(s) with integral anterior instrumentation for device anchoring, in conjunction with interbody arthrodesis, for each contiguous defect caused by vertebral corpectomy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.
1. What is CPT Code 22854?
CPT 22854 is used to describe the insertion of intervertebral biomechanical device(s) with integral anterior instrumentation for device anchoring, in conjunction with interbody arthrodesis, for each contiguous defect caused by vertebral corpectomy. This code is used when a metallic cage or mesh device is inserted to cover one or more defects resulting from the partial or complete removal of a vertebral body. The device is attached to the front of the vertebrae on either side of the defect using screws or flanges, helping to maintain the distance between the vertebrae. The procedure is performed during a spinal interbody arthrodesis, which involves the fusion of vertebrae over the joint space.
2. Official Description
The official description of CPT code 22854 is: ‘Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)’
3. Procedure
The procedure for CPT code 22854 involves the following steps:
- The patient is appropriately prepped and anesthetized.
- The provider exposes the disc area and retracts the surrounding tissues and muscles.
- A synthetic device, such as a metallic cage or mesh, is inserted to cover the defect created by the partial or complete removal of one or more adjacent vertebrae.
- Screws or flanges may be used to attach the device to the vertebrae on either side of the defect.
- The provider continues with the primary interbody arthrodesis procedure to its completion, controls bleeding, and closes the wound.
