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22848 is an add on code but if we are not supposed to use the Reinsertion code what code would be appropriate if pt is returning to OR during post op for: Procedure(s):
PELVIC FIXATION OTHER THAN SACRUM (C-ARM)(LIST SEPERATELY IN ADDITION TO PRIMARY CODE)**PELVIC FIXATION**
Per md notes: “I disected down to the Sacrum just distal to the S1 foramen. I used a high speed burr to create a start site for the Sacral Alar Iliac Screws”
On page 118 of the CPT 2014 Profession Edition, last paragraph, middle of the paragraph it states:
"Only the appropriate insertion code (22840-22848) should be reported when previously placed spinal instrumentation is being removed or revised during the same session where new instrumentation is inserted at levels including all or part of the previously instrumented segments. Do not report the reinsertion (22849) or removal (22850, 22852, 22855) procedures in addition to the insertion of the new instrumentation (22840-22848)"
Not sure an Unlisted code would work here with this as comparsion of this code
thanks
PELVIC FIXATION OTHER THAN SACRUM (C-ARM)(LIST SEPERATELY IN ADDITION TO PRIMARY CODE)**PELVIC FIXATION**
Per md notes: “I disected down to the Sacrum just distal to the S1 foramen. I used a high speed burr to create a start site for the Sacral Alar Iliac Screws”
On page 118 of the CPT 2014 Profession Edition, last paragraph, middle of the paragraph it states:
"Only the appropriate insertion code (22840-22848) should be reported when previously placed spinal instrumentation is being removed or revised during the same session where new instrumentation is inserted at levels including all or part of the previously instrumented segments. Do not report the reinsertion (22849) or removal (22850, 22852, 22855) procedures in addition to the insertion of the new instrumentation (22840-22848)"
Not sure an Unlisted code would work here with this as comparsion of this code
thanks