Orthopedic Coding Alert

You Be the Coder:

Osteotomies in 2 Spinal Areas

Question: Encounter notes indicate that the orthopedist performed a spinal osteotomy via anterior approach on the following segments: C6-C7, T1-T2, and T2-T3. All of the osteotomies included discectomy. How should I code this encounter? Idaho Subscriber Answer: You should report: 22222 (Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic) for the T1-T2 thoracic osteotomy +22226 x 2 (… each [...]
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