Hello, Can you provide any guidance regarding the neurectomy and the code descriptions of 26951 and 26952. Are these required to be documented in traumatic cases where the nerves were already transected or where there is a revision being done encompassing all the other elements of the amputation, except vessel, ligation or neurectomy?

Pedicle screw with cement augmentation—Is there a separate code for this, or is it included in the instrumentation codes (e.g., 22840, 22842)?

We’re seeing cases where, after initial I&D for spinal abscess (coded 22010–22015), patients require additional procedures to clear residual infection and promote healing. For these follow-ups, we’ve used debridement codes (11042–11047) and exploration of spinal fusion code 22830 when applicable.

Some providers feel 22010–22015 may still apply since the infection persists. Could you clarify, is it appropriate to reuse 22010–22015 for repeat I&Ds?

Would this be reported as 22842 or 22843? The documentation supports placing screws at C2, C3, C4, C5, C7, and T1 – with no screws at C6.

Hello! My question is regarding CPT coding. Is CPT 63048 an add-on to 63052?

Example: L3-L4 TLIF w/ Laminectomy, L4-L5 Posterior Instrumentation Fusion w/ Laminectomy.

Would this be coded as:

• 22633, 22614, 63052, 63047

OR

• 22633, 22614, 63052, 63048

I have been researching the coding for ALIF via retroperitoneal approach, and my research points to 22558 or an unlisted spine code; however, my provider states it should be CPT 22533. Can you please help?