Surgery: Musculoskeletal System (Q&A) (November 2010)
November 2010 page 8
Coding Consultation: Questions and Answers
Surgery: Musculoskeletal System
Question: Is it appropriate to report CPT code 22612 for placement of bone dowel allografts during posterior spinal facet fusion?
Answer: No. The “posterior spinal facet fusion” procedure is reported using the following appropriate Category III code(s) released July 1, 2009, for implementation effective January 1, 2010:
0219TPlacement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical
0220Tthoracic
0221Tlumbar
0222Teach additional vertebral segment (List separately in addition to code for primary procedure)
Because bone...
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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 focused CPT coding Q&A from the musculoskeletal surgery section of CPT Assistant. It addresses reporting considerations for posterior spinal facet fusion, including the relevant Category III procedure family and related services discussed in the consultation. The piece is intended for coding professionals who need to understand the scope of the guidance and its relationship to spinal fusion reporting.
Why This Topic Matters
It helps coders and auditors identify which musculoskeletal surgery guidance is being discussed and whether the article is relevant to spinal fusion reporting questions from the 2010 timeframe.
Article Sections
November 2010 page 8
A brief coding consultation in question-and-answer format from the musculoskeletal surgery section. The section focuses on a specific spinal procedure topic and related reporting considerations.
What You Will Learn
The general topic addressed by the coding consultation
Which broad musculoskeletal surgery reporting issue the Q&A discusses
The types of CPT guidance and related services referenced in the consultation
How the article is organized as a short question-and-answer coding note
Who Should Read This
Medical coders
Coding auditors
Compliance staff
Revenue cycle professionals
Orthopedic and spine surgery coding specialists
Codes Discussed
CPT: 22612
CPT: 20930
CPT: 20931
CPT: 22840
CPT: 22851
CPT: 0219T
CPT: 0220T
CPT: 0221T
CPT: 0222T
Code Ranges Discussed
CPT: 0219T-0221T
CPT: 22600-22614
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