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Wiki Replacement of spinal instrumentation screw

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sbivens003

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Hi,
Wondering how you would code for a replacement of spinal instrumentation screw? This was a broken screw. No plates or rods were replaced or adjusted. Just replacement of the broken screw. The re-insertion code 22849 seems a bit much for just replacing a screw. I was also looking at 20680 "removal of a pin, screw, rod or plate", and does not include replacement. Does anyone have another suggestion?
 
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