Neurosurgery Coding Alert

Reader Question:

Can You Report De-Rotation of Spine?

Question: What CPT® code do we use for "de-rotation of spine" done at the time of posterior arthrodesis for scoliosis?

Alaska Subscriber

Answer: The process of changing the orientation of the spine with manipulation of spinal instrumentation (i.e. rotating a rod within the screw heads or hooks attached to the spine) is considered incidental to the placement of the spinal instrumentation and is not separately reportable.