How to Bill and What is the CPT Code for Interspinous Process Decompression

Disclaimer: These are current codes. Please make sure you read your Operative Report before assigning any of these codes (CPT and HCPCS). Make sure you identify Medical Necessity, knows the Utilization and Reimbursement Guidelines. Be careful when assigning Diagnosis codes to meet medical necessity to avoid claims denials and rejection. Most of these procedures will need Prior Authorization, always verify benefits and eligibility before you render service. Have an approval or referral before you render service.

These are your codes:

How to Bill and What is the CPT Code for Interspinous Process Decompression

  • CPT Code 22867 Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
  • CPT Code 22868 Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)
  • CPT Code 22869 Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level
  • CPT Code 22870 Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code for primary procedure)
  • CPT is a trademark and owned by the American Medical Associations
  • References we used: 2018-2019 CPT Codes Books (CPT, ICD-10, HCPCS)
  • Current Guidelines from Payers including from Medicare and Medicaid if available
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