AMA CPT® Assistant - 2005 Issue 2 (February)

Musculoskeletal System/Surgery (February 2005)

February 2005 page 14c Coding Consultation:Questions and Answers Musculoskeletal System/Surgery, 20931, 22851 (Q&A) Question Is it appropriate to report code 22851, Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate) to vertebral defect or interspace, for the placement of Tangent bone grafts? AMA Comment From a CPT coding perspective, threaded bone dowel is the only bone allograft that would qualify for code 22851. All other bone allografts are structural allografts and should be reported with CPT code 20931, Allograft for spine surgery only; structural. Tangent bone grafts are not threaded bone dowels and as such...

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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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