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Neurosurgery Coding Alert

Reader Question:
Report Removal of Spinal Instrumentation Codes With Caution

Question: There is a debate in our office, and we were hoping you could help settle it. Is it true that you cannot bill removal of instrumentation at the same or adjacent levels as placement of new instrumentation? California Subscriber Answer: Yes. This is true. You should not report 22849 (Reinsertion of spinal fixation device) in conjunction with 22850 (Removal [...]

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