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Wiki Question re: fusion with osteotomy codes

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malissagiles

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Patient is having a lumbar pedicle subtraction osteotomy and fusion to correct the abnormality and spinal alignment.

Why does it state in CPT under the Osteotomy header, "To report arthrodesis, see codes 22590-22632. (Report in addition to code for the definitive procedure with modifier 51.)"

Wouldn't the arthrodesis codes for a PSO with fusion be reported with osteotomy code 22207 and arthrodesis code 22800? Why does CPT state to use arthrodesis codes 22590-22632; is CPT assuming that the arthrodesis being performed with the osteotomy is NOT for spinal deformity?

What am I missing?
 
Fusion and Osteotomy Codes

malissagiles said:
Patient is having a lumbar pedicle subtraction osteotomy and fusion to correct the abnormality and spinal alignment.

Why does it state in CPT under the Osteotomy header, "To report arthrodesis, see codes 22590-22632. (Report in addition to code for the definitive procedure with modifier 51.)"

Wouldn't the arthrodesis codes for a PSO with fusion be reported with osteotomy code 22207 and arthrodesis code 22800? Why does CPT state to use arthrodesis codes 22590-22632; is CPT assuming that the arthrodesis being performed with the osteotomy is NOT for spinal deformity?

What am I missing?
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Anyone have any opinions or information on this?
 
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