CPT codes and guidelines changed slightly for orthopedic-related procedures, according to AAOS Now. The manual also uses the term "physician" to include medical professionals, including \physician assistants and nurse practitioners. All personnel should use the same codes.
The following are specific orthopedic changes:
• Spine CPT errata — A change has been added for spine bone grafts, instrumentation and intervertebral device CPT codes to address the omission of CPT codes 22633 and 22634 as primary or index codes for these three areas. Now the codes can be appropriately related.
• Cervical spinal arthrodesis guideline — If work associated with the procedure codes 22554, 22585, 63075 and 63076 is being performed during the same surgery by one or two separate surgeons during the same session, than codes 22551 and 22552 should be used. Codes 63075 and 22554 may not be unbundled.
• New spine CPT code — 22586 is the new code for arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance and includes bone graft when performed.
• New spine CPT code — 0309T is the new code for arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft, when performed, lumbar, L4-L5 interspace. This is a category III code and is an add-on code to 22586.
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The following are specific orthopedic changes:
• Spine CPT errata — A change has been added for spine bone grafts, instrumentation and intervertebral device CPT codes to address the omission of CPT codes 22633 and 22634 as primary or index codes for these three areas. Now the codes can be appropriately related.
• Cervical spinal arthrodesis guideline — If work associated with the procedure codes 22554, 22585, 63075 and 63076 is being performed during the same surgery by one or two separate surgeons during the same session, than codes 22551 and 22552 should be used. Codes 63075 and 22554 may not be unbundled.
• New spine CPT code — 22586 is the new code for arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance and includes bone graft when performed.
• New spine CPT code — 0309T is the new code for arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft, when performed, lumbar, L4-L5 interspace. This is a category III code and is an add-on code to 22586.
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