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Wiki SPINE help!

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Laxwido

Laxwido

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Location
Charlottesville, VA
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Hello Group. I need to pose an coding question. I have the following spine case:

L3-L5 exploration of fusion, findings intact solid fusion
L2 decompressive laminectomy,facectomy for stenosis
posterior nonsegmental pedicular instrumentation at L2 with polyaxial screws.
L2-L3 posterolateral arthrodesis

My question is on the instrumentation. He removes the rod from the previous fusion L3-L5. He adds new screws at L2, then connects L2-L5 with a *NEW* rod. Is my code 22840 or 22842? The new rod connects to screws going from L2-L5. Thoughts?

Thanks!
 
22840 versus 22842

I would say 22842 because you are are still covering L2, L3,L4, & L5 segments.
 
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