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Question re: fusion with osteotomy codes

  1. Exclamation Question re: fusion with osteotomy codes
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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[s] 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?

  2. Default Fusion and Osteotomy Codes
    Quote Originally Posted by malissagiles View Post
    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[s] 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?
    Anyone have any opinions or information on this?

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