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Interspinous process distraction device (implantable)

HCPCS code

Medical Policies and Guidelines for Interspinous process distraction device (implantable)

Related policies from health plans

Interspinous Process Spacer Devices - (0448)
Experimental and Investigational Services (CG012)
Interspinous Process Decompression Spacers
Interspinous Process Decompression Spacers - Medicare Advantage
SURG.00092 Implanted Devices for Spinal Stenosis

Similar Codes


ICD10CM codes

T84.226 - Displacement of internal fixation device of vertebrae
T84.226A - Displacement of internal fixation device of vertebrae, initial encounter
T84.63 - Infection and inflammatory reaction due to internal fixation device of spine
T84.216 - Breakdown (mechanical) of internal fixation device of vertebrae
T84.216A - Breakdown (mechanical) of internal fixation device of vertebrae, initial encounter
T85.625 - Displacement of other nervous system device, implant or graft
T84.63XA - Infection and inflammatory reaction due to internal fixation device of spine, initial encounter
T84.226D - Displacement of internal fixation device of vertebrae, subsequent encounter
T85.122 - Displacement of implanted electronic neurostimulator of spinal cord electrode (lead)
T84.216D - Breakdown (mechanical) of internal fixation device of vertebrae, subsequent encounter

HCPCS codes

C1821 - Interspinous process distraction device (implantable)
C1776 - Joint device (implantable)
C1781 - Mesh (implantable)
C1819 - Surgical tissue localization and excision device (implantable)
C1755 - Catheter, intraspinal
C1734 - Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
C1815 - Prosthesis, urinary sphincter (implantable)
C1889 - Implantable/insertable device, not otherwise classified
C1778 - Lead, neurostimulator (implantable)
C1754 - Catheter, intradiscal

CPT4 codes

0171T - Insertion of posterior spinous process distraction device (including necessary removal of bone or li
22869 - Insertion of interlaminar/interspinous process stabilization/distraction device, without open decomp
22868 - Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, inc
22867 - Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, inc
22870 - Insertion of interlaminar/interspinous process stabilization/distraction device, without open decomp
22854 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterio
22849 - Reinsertion of spinal fixation device
22851 - Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to
22841 - Internal spinal fixation by wiring of spinous processes (List separately in addition to code for pri
22859 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) t