AMA CPT® Assistant - 2011 Issue 7 (July)

Category III Codes (Q&A) (July 2011)

July 2011 page 18 Category III Codes Question: There is a parenthetical instruction following Category III posterior intrafacet implant code 0221T instructing users not to report 0219T-0222T in addition to the bone graft codes 20930-20931. May the "harvest" of bone from a separate incisional site be separately reportable? For example, code 20900, Bone graft, any donor area; minor or small (eg, dowel or button), or code 20902, Bone graft, any donor area; major or large? Answer: As indicated in the parenthetical instruction following codes 0219T-0221T, the placement of bone for grafting is considered an inclusive service precluding the reporting...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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