Surgery: Musculoskeletal System (Q&A) (March 2015)

March 2015 page 9 Surgery: Musculoskeletal System Question: Are CPT codes 22851 and 22845 appropriate to report when modular implants, such as the RSB (RSB LLC; Cleveland, OH) InterPlate ® (a modular interbody platform technology), are implanted for spinal fusion procedures? Answer: No. The RSB InterPlate ® describes a stand-alone interbody fusion device that consists of an interbody spacer with screw fixation or other mechanisms, which engage adjacent vertebrae. Such devices should be reported with code 22558 , Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar, and 22851 , Application of intervertebral biomechanical device(s)...

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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 March 2015 CPT Assistant Q&A in musculoskeletal surgery discusses coding topics related to spinal fusion procedures and forefoot/toe correction services. It is intended for coders, billers, and clinical documentation staff who need to understand the scope of the guidance and the general types of procedures covered in the article.

Why This Topic Matters

The article helps readers determine whether the premium guidance applies to common musculoskeletal operative scenarios and how the discussed CPT coding topics are framed in an official Q&A format.

Article Sections

  1. Spinal fusion implants and instrumentation

    Questions and guidance addressing musculoskeletal surgery coding for spinal fusion-related implant and instrumentation services. The section focuses on how the topic is presented in relation to CPT coding.

  2. Hammertoe correction and related procedures

    Questions and guidance addressing toe deformity correction coding and associated procedural components. The section covers the broader musculoskeletal surgery context and reporting considerations discussed in the article.

What You Will Learn

  • The musculoskeletal surgery topics covered in this CPT Assistant Q&A article
  • The broad coding areas discussed for spinal fusion-related procedures
  • The general coding topics addressed for hammertoe correction and related toe procedures
  • How the article is organized as a Q&A resource for CPT coding guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Orthopedic and podiatry billing staff
  • Clinical documentation specialists
  • Revenue cycle professionals

Codes Discussed


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