Musculoskeletal, 22840, 22845 (Q&A) (July 1996)

July 1996 page 10 Coding Consultation Musculoskeletal, 22840, 22845 (Q&A) Question In the March 1996 Q & A, it was noted that an anterior, two segment spinal instrumentation would be coded as 22845 -52. Would a posterior two segment spinal instrumentation be coded in the same way? AMA Comment From a coding perspective, it would be inappropriate to code the posterior approach in this fashion, since there is a non-segmental instrumentation code for the posterior approach. If there are less than three vertebrae involved, then code 22840 , Posterior non-segmental instrumentation (eg, single Harrington rod technique) , would be reported...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article presents a brief musculoskeletal coding consultation from CPT Assistant focused on a spinal instrumentation question and an AMA coding comment. It is useful for coders working with CPT reporting concepts related to spinal surgery, especially when comparing anterior and posterior approaches and segment-based instrumentation terminology.

Why This Topic Matters

It helps readers identify whether the discussion is relevant to CPT-based musculoskeletal coding questions involving spinal instrumentation and approach-specific reporting.

What You Will Learn

  • The scope of a musculoskeletal CPT coding question and answer.
  • How the article frames a spinal instrumentation reporting issue.
  • The kind of coding commentary provided by the AMA in this consultation format.
  • The article’s focus on anterior versus posterior instrumentation context.

Who Should Read This

  • Medical coders
  • Coding educators
  • Compliance staff
  • Orthopedic and spine surgery billing staff

Codes Discussed

Modifiers Discussed


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