Stryker Aero-C cervical fixation device for ACDF

edited May 2017 in Orthopedics
Just wondered if anyone is using the Aero C device and how you are billing.

The description of the device on their website states it is a PEEK optima cage, surrounded by a titanium jacket.
I would code it as 22851 but the physician is stating because the screws go thru it like a plate she also wants to bill 22845 in addition to 22851.
My argument is that the definition of 22851 clearly states that screws, wires or plates may be used to secure the device. If you read the lay description for 22845 it states that a rod or cable is placed. Below is an excerpt of the op report. I don't see any supporting documentation for the 22845? Anyone care to comment ?

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