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CPT code 22212: Osteotomy of the spine, thoracic segment

CPT code 22212 describes an osteotomy of the spine through a posterior or posterolateral approach, limited to one vertebral segment in the thoracic region. The surgeon opens the back, cuts and repositions a section of thoracic vertebral bone, then stabilizes it. That corrects an underlying deformity such as scoliosis or kyphosis. The CMS CPT/HCPCS code […]

CPT code 21422: Open treatment of palatal or maxillary fracture

CPT code 21422 carries the following official AMA descriptor: Open treatment of palatal or maxillary fracture (LeFort I type). It sits within the Musculoskeletal System subsection of the CPT code set, specifically under Fracture and/or Dislocation Procedures on the Head (codes approximately 21400-21490). Field Details CPT code 21422 Short descriptor Open tx palatal/maxillary fx Long […]

CPT code 15157: Tissue cultured skin autograft billing guide

Most denials on CPT code 15157 come down to one number. The code adds each 100 sq cm of tissue cultured skin autograft on the face, hands, feet and other specialized sites. Coders often read it as another 25 sq cm step, copying the base code above it. That one difference lands on every claim […]

CPT code 20705: Intra-articular drug-delivery device removal

CPT code 20705 is an add-on code for removal of drug-delivery device(s), intra-articular. It covers removal only, and only from inside a joint. This guide sets out the descriptor, the 20700-20705 family, modifiers, ICD-10 crosswalks, and the documentation payers expect.

CPT Code 20822: Digit replantation billing, RVU values, and modifiers

CPT Code 20822 covers replantation of a completely amputated non-thumb digit at the distal level. The range runs from the fingertip to the insertion of the flexor sublimis tendon. One code reports the entire microvascular reattachment, from bone fixation through to nerve repair. This reference covers the official AMA description, current RVU values, and Medicare […]

CPT code 20606: Arthrocentesis of intermediate joint with ultrasound

CPT code 20606 covers arthrocentesis, aspiration, or injection of an intermediate joint or bursa performed with ultrasound guidance. The descriptor also requires permanent recording and reporting of the images. Without that record in the chart, the procedure belongs on 20605 instead. This guide covers the descriptor, the 20605 comparison, Medicare reimbursement, modifiers, ICD-10 pairings, and […]

CPT code 15040: Skin harvest billing, modifiers, and RVUs

CPT code 15040 covers a single job. A surgeon harvests skin from the patient so a lab can grow it into a graft. The descriptor caps that harvest at 100 sq cm or less. It does not pay for the culturing, and it does not pay for placing the finished graft. That narrow scope is […]

CPT Code 00846: Anesthesia for radical hysterectomy and laparoscopy

CPT Code 00846 covers anesthesia for intraperitoneal procedures in the lower abdomen, including laparoscopy and radical hysterectomy. It carries 8 base units under the ASA Relative Value Guide. This reference covers the official description, base units, applicable modifiers, Medicare reimbursement calculation, ICD-10 crosswalk, and the billing mistakes that most commonly hit this code. Where 00846 […]

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