Hi! My name is Dianne C. Moseley. I’m a healthcare professional with over 32 years of experience in revenue cycle management. Throughout my career, I’ve worked in every area of RCM, gaining a true understanding of how each part connects to the bigger picture.
I am currently certified through AAPC with my CPC, CPCO, CPMA, and CANPC.
For the past 15 years, I’ve focused my expertise on anesthesia — a specialty I’m deeply passionate about. I currently work with a large anesthesia group, as a Senior Auditor serving as a Subject Matter Expert, where I focus on optimizing coding accuracy, compliance, education, and revenue integrity. My passion lies in education, process improvement and helping others to succeed.
This blog is a space where I will share practical insights, tips, and real-world guidance on anesthesia coding. My goal is to make complex concepts clear, support continuous learning, and help others feel confident navigating the anesthesia coding landscape.
As we celebrate this season of gratitude, I want to take a moment to say thank you from the bottom of my heart. Your support, your encouragement, and your willingness to follow along on my blog and personal journey mean more to me than you know.
This year, I’m especially grateful for you — every reader, every comment, every shared moment. You’ve been part of my growth, my learning, and my continued push toward the dream that fuels me: becoming an educator who can make a difference.
I’m thankful that I’m still able to chase that dream. I’m thankful for the opportunities still in front of me. And I’m thankful that you’ve chosen to walk alongside me as this vision becomes clearer and closer.
May your Thanksgiving be filled with warmth, peace, good food, and the people who bring light into your life.
In spinal surgery, instrumentation refers to any hardware implanted into the spine to provide stability, correction, or fixation. It is used to immobilize spinal segments, maintain alignment, or support fusion.
Common Types of Spinal Instrumentation
1. Pedicle Screws
Placed through the pedicle into the vertebral body
Provide the primary anchor point
Used in almost all thoracolumbar fusions
2. Rods
Long metal rods connecting pedicle screws
Allow correction of deformity and stabilization
3. Plates
Anterior cervical plates most common
Secured with screws to maintain alignment after fusion
4. Interbody Devices (Cages)
Inserted into the disc space
Restore disc height
Promote fusion with bone graft
5. Hooks
Used in scoliosis or deformity surgery
Anchor at lamina or transverse process
6. Wires / Cables
Sublaminar wires or titanium cables
Used when screw purchase is poor
7. Crosslinks
Connect left and right rod to increase torsional stability
Coding Note (If You Need It for CPT Documentation)
Instrumentation is coded separately from the fusion procedure, usually using:
22840–22847 for posterior segmental/nonsegmental instrumentation
22853–22859 for interbody devices
22848 for crosslink placement
+22899 for unlisted situations
Disclaimer: Chart Talk: Anesthesia Coding Conversations is intended for educational and informational purposes only. The content shared does not constitute legal, billing, compliance, or reimbursement advice. Coding, billing, and reimbursement decisions should be based on official sources such as CPT®, ICD-10-CM, ASA guidelines, payer policies, and individual facility policies, as well as the specific documentation in the medical record. Users are encouraged to consult authoritative resources and/or their compliance department for guidance applicable to their organization.
Disclaimer: Chart Talk: Anesthesia Coding Conversations is intended for educational and informational purposes only. The content shared does not constitute legal, billing, compliance, or reimbursement advice. Coding, billing, and reimbursement decisions should be based on official sources such as CPT®, ICD-10-CM, ASA guidelines, payer policies, and individual facility policies, as well as the specific documentation in the medical record. Users are encouraged to consult authoritative resources and/or their compliance department for guidance applicable to their organization.
Use When: – The procedure is within the lower urinary tract only – No major open/percutaneous surgical approach – Not extensive reconstruction or complex pelvic surgery
CPT 00918 – Anesthesia for Transurethral Procedures; Complicated
Disclaimer: Chart Talk: Anesthesia Coding Conversations is intended for educational and informational purposes only. The content shared does not constitute legal, billing, compliance, or reimbursement advice. Coding, billing, and reimbursement decisions should be based on official sources such as CPT®, ICD-10-CM, ASA guidelines, payer policies, and individual facility policies, as well as the specific documentation in the medical record. Users are encouraged to consult authoritative resources and/or their compliance department for guidance applicable to their organization.
Disclaimer: Chart Talk: Anesthesia Coding Conversations is intended for educational and informational purposes only. The content shared does not constitute legal, billing, compliance, or reimbursement advice. Coding, billing, and reimbursement decisions should be based on official sources such as CPT®, ICD-10-CM, ASA guidelines, payer policies, and individual facility policies, as well as the specific documentation in the medical record. Users are encouraged to consult authoritative resources and/or their compliance department for guidance applicable to their organization.
I’m thrilled to share that I’m working on another exciting part of my professional journey—one that I hope will bring even more value to our anesthesia and medical coding community.
Over the past year, I’ve poured my energy into creating educational tools, tip sheets, presentations, and resources designed to make coding clearer, easier, and more accurate. Now, I’m taking the next big step: exploring how to offer educational training that qualifies for CEU credit through AAPC.
I’ve officially reached out to AAPC to learn more about the process, and at this point, I’m simply waiting to hear back. But I wanted to share the news with you early because my goal is bigger than just providing education—I want to make these opportunities completely free for my subscribers.
Offering free CEU-eligible training has been on my heart for a long time. So many coders are looking for affordable, high-quality professional development, especially in specialized areas like anesthesia. If I can remove cost as a barrier and still deliver accurate, practical, and meaningful education, then I’m doing what I feel called to do.
I’ll keep you updated as things progress. Thank you for being part of this journey, for supporting the resources I’ve shared, and for being committed to continued learning. I can’t wait to see what’s next—and I hope to bring you along with me every step of the way.
