Anterior Cervical Discectomy & Fusion (ACDF) Case Studies

⚡ INSTANT DOWNLOAD | 39-Page Professional PDF Guide | For Medical Coders & Billers

Master the CPT coding for anterior cervical discectomy and fusion (ACDF) — the most common cervical spine procedure and the workhorse of any spine practice. Volume 2 of the Medico Boom Surgical Case Study Series covers one-level, two-level, and three-level ACDF with three complete de-identified operative reports and line-by-line coding analysis.

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★ WHAT'S INCLUDED

✔ 39-page professionally designed PDF

✔ Three complete case studies (one-level, two-level, three-level)

✔ Full de-identified operative reports as they appear in the chart

✔ Line-by-line CPT coding analysis with rationale

✔ Master CPT code reference tables

✔ Critical bundling rule explained (22551 bundles the discectomy)

✔ Interbody device code selection (22853 vs. 22854 vs. 22859)

✔ Anterior plate code selection (22845 vs. 22846 vs. 22847)

✔ 12 common operative report documentation issues

✔ Modifier quick reference (22, 51, 59, 62, 58, 78, XS)

✔ One-page tear-out cheat sheet with decision tree

✔ Final bill-out summaries showing exactly what goes on the claim

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★ CASE STUDIES COVERED

▸ Case 1: One-Level ACDF at C5-C6 with PEEK cage and anterior plate

▸ Case 2: Two-Level ACDF at C5-C6, C6-C7 with structural allograft

▸ Case 3: Three-Level ACDF at C4-C5, C5-C6, C6-C7 with iliac crest autograft

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★ THE CRITICAL DISTINCTIONS COVERED

▸ Why 22551 BUNDLES the discectomy (do NOT bill 63075)

▸ Interbody device with integral instrumentation (22853) vs. without (22859)

▸ Structural allograft cage (22854) — when the code changes

▸ Anterior plate segment counting (22845 vs. 22846 vs. 22847)

▸ Bone graft code selection (20930 vs. 20936 vs. 20937)

▸ The #1 ACDF coding error that costs practices thousands per case

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★ CPT CODES COVERED

Arthrodesis codes: 22551, +22552

Interbody devices: +22853, +22854, +22859

Anterior instrumentation (plates): +22845, +22846, +22847

Bone graft codes: +20930, +20931, +20936, +20937, +20938

Modifier applications for ACDF cases

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★ WHO THIS IS FOR

• Medical coders working in spine or orthopedic surgery

• Medical billers processing surgical claims

• Practice managers overseeing coding accuracy

• Certified coders (CPC, CCS) building specialty expertise

• Coding instructors and students studying spine surgery

• Anyone preparing for coding certification exams

• New spine coders learning the foundational ACDF code family

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★ WHY THIS GUIDE

Written by a medical billing specialist with 15+ years of orthopedic and spine surgery experience. ACDF is the highest-volume cervical procedure at most spine practices — which means it's also the biggest source of coding errors. Coders who add 63075 alongside 22551 trigger unbundling denials. Coders who select the wrong interbody device code (22853 vs. 22854 vs. 22859) either underbill or trigger denials. This guide walks through the actual decision process used to code these cases correctly in practice, with line-by-line analysis of three real operative report scenarios.

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★ FORMAT & DELIVERY

📄 Format: PDF (39 pages)

⬇️ Delivery: Instant digital download

🖥 Compatible with: All PDF readers, tablets, phones, computers

🖨 Print-friendly: Formatted for standard letter size

📱 Mobile-ready: Read on any device

Upon purchase, your download will be available immediately in your Etsy account under "Purchases and Reviews."

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★ IMPORTANT NOTES

This guide is educational and reflects widely accepted coding practices as of publication. Always verify against current AMA CPT® codebook, CMS NCCI edits, and specific payer policies before submitting claims. This is not legal, compliance, or billing advice for any specific claim.

Due to the digital nature of this product, all sales are final. No refunds or exchanges. However, if you have any issues accessing your download, please message me — I'm happy to help.

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★ ABOUT MEDICO BOOM CONSULTING

Medico Boom Consulting, LLC is a spine and orthopedic surgery billing specialist based in New Jersey, serving practices across the tri-state area. Our Surgical Case Study Series is designed for medical billers and coders who want deep, practical specialty expertise — the kind you can't find in a codebook.

Explore other volumes in the series:

• Volume 1: Lateral & Anterior Lumbar Fusion (XLIF/LLIF/ALIF)

• Volume 3: Posterior Lumbar Fusion (PLIF/TLIF/PLDF)

• Volume 4: MIS Spine Decompression (Microdiscectomy + Laminectomy)

• Volume 5: Posterior Cervical Fusion

• Volume 6: Total Disc Arthroplasty (Cervical + Lumbar)

Together, Volumes 2, 5, and 6 provide complete cervical spine coding coverage — anterior fusion, posterior fusion, and motion preservation.

Follow the shop to be notified when new volumes are released.

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Questions? Message me directly — I typically respond within 24 hours.

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