Code Details

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Code Details & Principles For
V4280

Chapter 3 / Spine, Spinal Cord & Peripheral Nerves
Chapter 3.1 / Spinal Column (including Intervertebral Disc)
Chapter 3.1.4 / Scoliosis, kyphosis, fractures, tumours and infections
Code Description Chapter / Sub-Chapter Code Specific Guidance
Correction of adult degenerative or adult idiopathic scoliosis including decompression +/- fusion (including spinal cord monitoring)

Unacceptable Combination for V4280
CCSD Code
(unacceptable combination)
Narrative
(unacceptable combination)
Date Added
22026 Intraoperative Neurophysiological Monitoring (including Spinal monitoring) - up to 4 hours 29/09/2016
22027 Intraoperative Neurophysiological Monitoring (including Spinal monitoring) - more than 4 hours 29/09/2016
V2400 Posterior decompression with fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V2430 Revisional posterior decompression with fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V2500 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) including spinal cord monitoring Pre Sept 2014
V2501 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (3 or more levels) including spinal cord monitoring 30/07/2015
V2560 Decompression for central spinal stenosis (1 or 2 levels) Pre Sept 2014
V2562 Decompression for central spinal stenosis (3 or more levels) Pre Sept 2014
V2652 Revision posterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring Pre Sept 2014
V3362 Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf stabilisation and all fusion approaches) (lumbar region) including spinal cord monitoring Pre Sept 2014
V4000 Combined anterior and posterior correction and instrumentation of idiopathic juvenile scoliosis, +/-fusion (including spinal monitoring) Pre Sept 2014
V4100 Posterior correction of idiopathic juvenile scoliosis with instrumentation, +/-fusion (including spinal cord monitoring) Pre Sept 2014
V4120 Anterior correction of idiopathic juvenile scoliosis with instrumentation, +/-fusion (including spinal cord monitoring) Pre Sept 2014
V4142 Removal of posterior scoliosis instrumentation (as sole procedure) Pre Sept 2014
V4300 Anterior vertebrectomy with decompression and implant Pre Sept 2014
V4302 Combined anterior vertebrectomy with posterior fusion and instrumentation Pre Sept 2014
V4451 Balloon kyphoplasty - single level Pre Sept 2014
V4452 Balloon kyphoplasty - two levels Pre Sept 2014
V4453 Balloon kyphoplasty - greater than two levels Pre Sept 2014
V4742 Spinal endoscopy Pre Sept 2014
V4900 Open biopsy of lesion of spine where no other operative procedure on the spine is performed Pre Sept 2014
Coding Principles

These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used.  The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:

  • The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
  • The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers’ own Schedules or covered
  • The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information