mkessler10
New
As noted in CPT 2012, "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)."
Once a year we have a meeting with a coding consultant. A question was posed asking if removal of instrumentation could be billed in addition to new instrumentation if performed at adjacent levels during the same operative session. The example given was removal of previously placed posterior instrumentation at L4-5, and placement of new instrumentation at L5-S1. The answer given was no, this is not separately reported and the appropriate code is 22840 only.
I'm just checking to see if this is thought to be an accurate answer among coding professionals. Thanks in advance for your feedback!
Once a year we have a meeting with a coding consultant. A question was posed asking if removal of instrumentation could be billed in addition to new instrumentation if performed at adjacent levels during the same operative session. The example given was removal of previously placed posterior instrumentation at L4-5, and placement of new instrumentation at L5-S1. The answer given was no, this is not separately reported and the appropriate code is 22840 only.
I'm just checking to see if this is thought to be an accurate answer among coding professionals. Thanks in advance for your feedback!