AMA CPT® Assistant - 2011 Issue 1 (January)

Surgery: Musculoskeletal System (Q & A) (January 2011)

January 2011 page 9a Surgery: Musculoskeletal System Question: If bilateral non-segmental instrumentation is placed at multiple vertebral segments (eg, L4, L5, and S1) during the same operative session, is code 22840 reported only once to capture all three segments? Answer: Yes. CPT code 22840, Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure), would be reported once to capture all three segments. Code 22840 is used to report the placement of non-segmental instrumentation. Non-segmental instrumentation is...

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