What is the CPT code for bone allograft?

Code +20933 describes partial (hemicylindrical) bone allograft, while +20934 describes complete (cylindrical) allograft.

What is spinal bone allograft?

Allograft bone graft is bone obtained from cadavers, and comes in many shapes and forms for use in a spine fusion. There are different techniques of sterilization as well as different storage techniques for allograft bone, such as fresh frozen or freeze-dried.

What is the difference between CPT code 20930 and 20931?

For a morselized allograft, select 20930. A structural bone graft is a single piece of bone, which provides direct support for skeletal structures. For a structural autograft, select 20938. For a structural allograft, report 20931.

What is the difference between CPT 22630 and 22633?

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 allograft for spine surgery only Morselized?

Allograft is the obtaining of a bone graft from a cadaver donor that is either frozen or freeze-dried until used. The physician prepares this graft using cancellous chips (morselized), and then inserts it in the spine, as a separately reportable spinal procedure.

What is structural allograft spine surgery?

Structural allografts placed anteriorly in the spine may be used as interbody grafts or as strut grafts spanning multiple segments. Posterior allografts are used to supplement autologous bone for spinal fusions in patients who lack sufficient host bone and to avoid significant donor site morbidity.

How do you code an allograft?

Codes 20930 and 20931 are used to identify this procedure. An autograft is a bone graft that is obtained from the patient. The physician may choose to use bone fragments taken from the spinous process or laminar fragments adjacent to or near the anatomic site of the surgical procedure.

What is a structural allograft?

Structural allografts continue to be used as interbody spacers due to their ability to support mechanical loads and resist failure. Such structural allografts are comprised of either cortical, cancellous or a combination of both cortical and cancellous bone.

What is the difference between 22633 and 22612?

22633 when your surgeon does an arthrodesis adopting a posterior approach in a single interspace of the lumbar segment. 22612 is used to report arthrodesis of a single level in the lumbar spine.

Can CPT code 22633 and 63047 be billed together?

More recently, the October 2016 CPT assistant article stated CPT codes 63047 and 22633 may not be reported together at the same interspace.

What is the difference between Morselized and structural allograft?

A structural graft is a bigger piece of bone. A morselized graft involves cancellous bone or small bone fragments. An allograft is a purchased graft harvested from a cadaver, whereas an autograft is bone harvested from the patient’s own body.

What is procedure code 22633?

CPT code 22633 is defined as “Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and level; lumbar.” CPT code 22634 should be reported for each …

What is the CPT code 63047?

CPT® Code 63047 in section: Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment.

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