Surgery: Musculoskeletal System (Q&A) (November 2014)

November 2014 page 14 Surgery: Musculoskeletal System Question: Can we report both the plate code 22845, Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) and the interbody device code 22851, Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (List separately in addition to code for primary procedure)? Answer: No. Although some of these devices have a metal component in addition to the screws, code 22845 would not be appropriate as the intent of that component is to hold the bone graft/cage in place and not...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

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This article presents a focused coding question-and-answer from CPT Assistant on musculoskeletal surgery. It addresses how the discussion applies to spine-related procedures and references CPT code set terminology in the context of instrumentation and interbody device reporting. The piece is useful for coders, auditors, and reimbursement staff who need to understand the scope of the coding discussion in a concise Q&A format.

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It helps readers determine whether the article contains guidance relevant to musculoskeletal procedure coding and spine documentation review without exposing the full premium content.

What You Will Learn

  • The article’s coding topic and clinical area
  • That the content is presented as a Q&A format
  • How the discussion relates to CPT musculoskeletal surgery coding
  • The general context of spine instrumentation and interbody device reporting

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  • Medical coders
  • Coding auditors
  • Physician documentation staff
  • Reimbursement and billing professionals

Codes Discussed


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