When the physician removes and replaces either a broken screw or spinal fixation screws/rods at

When the physician removes and replaces either a broken screw or spinal fixation screws/rods at L4-L5, is it appropriate to report instrumentation insertion code 22840 because the implants were removed and new implants were placed at the same level, or should instrumentation reinsertion code 22849 be reported?

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CPT Knowledgebase - Jun 12, 2017