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Neurosurgical Instrumentation

  1. Question Neurosurgical Instrumentation
    Medical Coding Books
    I have a coding scenerio I would like input on. My DR. did a 2 level ALIF where he put two different kinds of instrumentation on each of the levels. He coded it as 22845 x 2. I believe even though it is two different types of instrumentation he should still bill it 22846 because he covered 4 or more vetebral segments. Any thoughts of suggestions would be appreciated.
    Thank You
    Neurosurgical Assoc. of Northern UT

  2. #2
    North Carolina
    Can you post the vertebral segments that were operated on?

    An example of 22846 would be C6-T2
    Last edited by RebeccaWoodward*; 07-09-2009 at 08:51 AM.

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