AMA CPT® Assistant - 2018 Issue 7 (July)

Surgery: Musculoskeletal System (Q&A) (July 2018)

July 2018 page 14 Surgery: Musculoskeletal System Question: A middle-aged patient presents with spinal stenosis, post-laminectomy syndrome, radiculopathy, and degenerative joint disease, which is causing a spinal deformity, such as secondary scoliosis. The surgeon performs posterior fusions of T10-S1 with additional interbody fusions at L3/4, L4/5 and L5/S1. What are the appropriate Current Procedural Terminology (CPT®) code(s) to report for this operation? Answer: If the indication for surgery is deformity, report code 22633, Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and...

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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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