Henson65
Networker
HI all! So a physician and I are having a pretty heated discussion regarding CPT 22845 and whether it should be reported once or twice. His feelings are since he placed two separate plates he should be able to code two separate CPTs of 22845, my feelings are that based on the documentation CPT 22845 is coded based upon the levels and not on the device count. From his OP note, he fused two levels using two plates and thus reported with one unit of CPT 22845. Now, if he had skipped levels in between then we could report with two 22845. Below is a copy of the OP note specifically where the plates are discussed.