AMA CPT® Assistant - 2011 Issue 1 (January)

Surgery: Musculoskeletal System (Q & A) (January 2011)

January 2011 page 9a Surgery: Musculoskeletal System Question: If bilateral non-segmental instrumentation is placed at multiple vertebral segments (eg, L4, L5, and S1) during the same operative session, is code 22840 reported only once to capture all three segments? Answer: Yes. CPT code 22840, Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure), would be reported once to capture all three segments. Code 22840 is used to report the placement of non-segmental instrumentation. Non-segmental instrumentation is...

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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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