Quick reference guide for CPT codes for Cervical Spine Procedure.
| Official Description | Common Description | Codes | Possible Additional Codes | Explanations | Work RVU | Total RVU |
|---|---|---|---|---|---|---|
| ACDF & Posterior & Instrumented Fusion, 1 level | 22551; 22600; 22842; +22845; +22853; 61783; 20937; 20936; 20930 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22551 - 25.00; 22600 - 17.40; 22842 - 12.56; +22845 - 11.94; +22853 - 4.25; 61783 - 3.75; 20937 - 2.79; 20936 - 0; 20930 - 0 | 22551 - 49.87; 22600 - 37.51; 22842 - 22.35; +22845 - 21.42; +22853 - 7.64; 61783 - 6.83; 20937 - 4.90; 20936 - 0; 20930 - 0 | ||
| ACDF and Posterior Cervical Laminectomy and Instrumented Fusion, 1 level | 22551; 22600; 63045; 22842; 22845; +22853; 20937; 20936; 20930 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22551 - 25.00; 22600 - 17.40; 63045 - 17.95; 22842 - 12.56; +22845 - 11.94; +22853 - 4.25; 20937 - 2.79; 20936 - 0; 20930 - 0 | 22551 - 49.87; 22600 - 37.51; 63045 - 37.58; 22842 - 22.35; +22845 - 21.42; +22853 - 7.64; 20937 - 4.90; 20936 - 0; 20930 - 0 | ||
| ACDF with plating and interbody graft with allograft 2 levels | 22551; 22552; 22845; +22853; 20930 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; 22552 - 6.50; 22845 - 11.94; +22853 - 4.25; 20936 - 0 | 22551 - 49.87; 22552 - 11.68; 22845 - 21.42; +22853 - 7.64; 20930 - 0 | ||
| ACDF with plating and interbody graft with allograft 3 levels | 22551; 22552; 22846; +22853; 20930 | 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; 22552 - 6.50; 22846 - 12.40 +22853 - 4.25; 20936 - 0 | 22551 - 49.87; 22552 - 11.68; 22846 - 22.24; +22853 - 7.64; 20930 - 0 | ||
| ACDF with plating, 1 level COMPLETE TREATMENT PLAN | 22551; 22845; +22853; 20937 | +22853 - use for interbody graft/cage; +20930 - use for allograft like BMP, DBM, Grafton, Osteocel, Trinity, etc.; +20931 - use if cadaveric bone is used for graft; +20937 - use this if cancellous iliac crest graft or other morselized autograft is used; +20938 - use if tricortical autograft like iliac crest was used | 22551 - 25.00; 22845 - 11.94; +22853 - 4.25; 20936 - 0 | 22551 - 49.87; 22845 - 21.42; +22853 - 7.64; 20930 - 0 | ||
| ACDF with plating and interbody graft with autograft 2 levels | 22551; 22552; 22845; +22853; 20937 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; 22552 - 6.50; 22845 - 11.94; +22853 - 4.25; 20937 - 2.79 | 22551 - 49.87; 22552 - 11.68; 22845 - 21.42; +22853 - 7.64; 20937 - 4.90 | ||
| ACDF with plating and interbody graft with autograft 3 levels - COMPLETE TREATMENT PLAN | 22551; 22552 x 2; +22846; +22853 x 3; +20937 | 22551 - ACDF 1 level; 22552 - ACDF, additional level; +22846 - anterior plating for 4 vertebra; +22853 x 3 - interboday graft for 3 disc spaces; +20937 - iliac crest bone graft (use 20936 for osteophyte from the cervical vertebra | 22551 - 25.00; 22552 x 2 - 13.00; 22846 - 12.40 +22853 x 3 - 12.75; 20937 - 2.79 | 22551 - 49.87; 22552 x 2 - 23.36; 22846 - 22.24; +22853 x 3 - 22.92; 20937 - 4.90 | ||
| ACDF, Iliac Crest Bone Graft 1 level + ADR 1 level | 22551; +22845; +22853; +20937 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; +22845 - 11.94; +22853 - 4.25; 20937 - 2.79 | 22551 - 49.87; +22845 - 21.42; +22853 - 7.64; 20937 - 4.90 | ||
| Anterior Cervical Discectomy and Fusion (ACDF) 2 levels, with plating, interbody graft, and Iliac Crest Bone Graft + ADR 1 level | 22551; +22552; +22845; +22853; +20937 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; +22552 - 6.50; +22845 - 11.94; +22853 - 4.25; 20937 - 2.79 | 22551 - 49.87; +22552 - 11.68; +22845 - 21.42; +22853 - 7.64; 20937 - 4.90 | ||
| Anterior Cervical Discectomy and Fusion (ACDF) with decompression with plating and interbody graft with autograft 1 level | 22551; +22845; +22853; +20937 | +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; +22845 - 11.94; +22853 - 4.25; 20937 - 2.79 | 22551 - 49.87; +22845 - 21.42; +22853 - 7.64; 20937 - 4.9 | ||
| Anterior Cervical Discectomy and Fusion (ACDF) with plating and interbody graft with allograft 1 level - COMPLETE TREATMENT PLAN | 22551; +22845; +22853; +20930 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 is used for a device, with fusion, with or without integrated anterior fixation; +20930 is morselized allograft | 22551 - 25.00; +22845 - 11.94; +22853 - 4.25; 20930 - 0 | 22551 - 49.87; +22845 - 21.42; +22853 - 7.64; 20930 - 0 | ||
| Anterior Cervical Discectomy and Fusion without decompression with plating and structural interbody graft, with iliac crest bone graft, 1 level | 22554, +22845, +22551, | Use 22554 instead of 22551 if no decompression was done such as in trauma; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels | 22554 - 17.69; +22845 - 11.94; +22551 - 25.00 | 22554 - 36.48; +22845 - 21.42; +22551 - 49.87 | ||
| Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (list separately in addition to code for primary procedure) | +22851 | This code as of 1/1/17 will no longer be used by Medicare. Some other payers may continue to use this code. Use +22853 (interbody cage), +22854 (corpectomy cage), +22859 (any cage without fusion) instead. | +22851 - No RVU | +22851 - No RVU | ||
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 | Anterior Cervical Discectomy and Fusion (ACDF) | 22551 | +22552 for additional level | 22551 - 25.00; +22552 - 6.50 | 22551 - 49.87; +22552 - 11.68; | |
| Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment | 22600 | +22614 | 22600 - 17.40; 22614 - 6.43 | 22600 - 37.51; +22614 - 11.47 | ||
| Arthrodesis, posterior technique, atlas-axis (C1-C2) | 22595 | 22595 - 20.64 | 22595 - 43.91 | |||
| Artificial Disc Replacement 2 levels | ADR | 22856, +0092T | The additional level is +0092T | 22856 - 24.05; +0092T - No RVU | 22856 - 47.62; +0092T - No RVU | |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with endplate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), single interspace, cervical | ADR | 22856 | 22856 - 24.05 | 22856 - 47.62 | ||
| Biopsy, vertebral body, open; lumbar or cervical | 20251 | 20251 - 5.72 | 20251 - 12.26 | |||
| Burr hole(s) or trephine; with biopsy of brain or intracranial lesion | 61140 | 61140 - 17.23 | 61140 - 36.96 | |||
| C1-C4 Posterior Instrumented Fusion | 22595; 22326; 22600; 22614; 22842; 61783; 20937; 20936; 20930 | 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22595 - 20.64; 22326 - 20.84; 22600 - 17.40; 22614 - 6.43; 22842 - 12.56; 61783 - 3.75; 20937 - 2.79; 20936 - 0; 20930 - 0 | 22595 - 20.64; 22326 - 20.84; 22600 - 17.40; 22614 - 6.43; 22842 - 12.56; 61783 - 3.75; 20937 - 2.79; 20936 - 0; 20930 - 0 | ||
| C3/4, C4/5, C5/6 Posterior Fusion, Laminectomies, and Lateral Mass Screw Fixation (Cervical Laminectomies and Instrumented Fusion, 3 Levels) | 22600; +22614; 63015; +22842 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; 63015 - cervical laminectomies without facetectomy, foraminotomies, or discectomy > 2 vertebral segments; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22600 - 17.40; +22614 - 6.43; 63015 - 20.85; +22842 - 12.56; | 22600 - 37.51; +22614 - 11.47; 63015 - 43.30; +22842 - 22.35 | ||
| C4 & C5 Corpectomy, Cage and Plate Fusion (Cervical Corpectomy, 2 vertebraes) | 63081; +63082; 22554; +22585; +22846; +22853; +22854; +22859 | 63081 - cervical corpectomy one vertebrae; +63082 - additional vertebrae for cervical corpectomy; 22554 -anterior cervical interbody fusion for one disc space; +22585 - anterior cervical interbody fusion for additional disc space; +22846 - anterior plating for 4 - 7 vertebral segments; +22853 is used for a device, with fusion, with or without integrated anterior fixation; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation; +22859 is used for interbody device insertion without fusion | 63081 - 26.10; +63082 - 4.36; 22554 - 17.69; +22585 - 5.52; +22846 - 12.40; +22853 - 4.25; +22854 - 5.50; +22859 - 5.50 | 63081 - 51.19; +63082 - 7.80; 22554 - 36.48; +22585 - 9.61; +22846 - 22.24; +22853 - 7.64; +22854 - 9.89; +22859 - 9.89 | ||
| C4-C5, C5-C6 and C6-C7 Anterior Cervical Discectomy and Fusion | 22551; 22552; 22846; +22853; 20937 | +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22551 - 25.00; 22552 - 6.50; +22846 - 12.40; +22853 - 4.25; 20937 - 2.79 | 22551 - 49.87; 22552 - 11.68; +22846 - 22.24; +22853 - 7.64; 20937 - 4.90 | ||
| Cervical - Corpectomy, 1 vertebrae | 63081; 22554; 22585; 22845; +22853; 69990; 20936; 20930 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 63081 - 26.10; 22554 - 17.69; +22585 - 5.52; +22845 - 11.94; +22853 - 4.25; 69990 - 3.46; 20936 - 0; 20930 - 0 | 63081 - 51.19; 22554 - 36.48; +22585 - 9.61; +22845 - 21.42; +22853 - 7.64; 69990 - 6.43; 20936 - 0; 20930 - 0 | ||
| Cervical - Corpectomy, Front and Back | 63081; 22600; 22614; 22554; 22585; 22842; 22845; +22853; 20937; 69990; 20930 | 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation | 63081 - 26.10; 22600 - 17.40; +22614 - 6.43; 22554 - 17.69; 22585 - 5.52; 22842 - 12.56; 22845 - 11.94; +22853 - 4.25; 20937 - 2.79 69990 - 3.46; 20930 - 0 | 63081 - 51.19; 22600 - 37.51; +22614 - 11.47; 22554 - 36.48; 22585 - 9.61; 22842 - 22.35; 22845 - 21.42; +22853 - 7.64; 20937 - 4.9; 69990 - 6.43; 20930 - 0 | ||
| Cervical Corpectomy, 1 Level and Disc Replacement, 1 Level | 22856; 63081; 22554; 22585; 22845; +22853 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 is used for a device, with fusion, with or without integrated anterior fixation | 22856 - 24.05; 63081 - 26.10; 22554 - 17.69; 22585 - 5.52; 22845 - 11.94; +22853 - 4.25 | 22856 - 47.62; 63081 - 51.19; 22554 - 36.48; 22585 - 9.61; 22845 - 21.42; +22853 - 7.64 | ||
| Cervical Foraminotomies - Posterior, 1 level | 63020; 69990 | 63020 - 16.20; 69990 - 3.46 | 63020 - 33.81; 69990 - 6.43 | |||
| Cervical Foraminotomies - Posterior, 2 levels | 63020; 63035; 69990 | 63020 - 16.20; 63035 - 3.15; 69990 - 3.46 | 63020 - 33.81; 63035 - 5.61; 69990 - 6.43 | |||
| Cervical Foraminotomies - Posterior, 3 levels | 63020; 63035; 69990 | 63020 - 16.20; 63035 - 3.15; 69990 - 3.46 | 63020 - 33.81; 63035 - 5.61; 69990 - 6.43 | |||
| Cervical Front and Back 1 Level | 22326; 22600; 63045; 22842; 22551; 22845; +22853; 20937; 20936; 20930 | +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22326 - 20.84; 22600 - 17.40; 63045 - 17.95; 22842 - 12.56; 22551 - 25.00; 22845 - 11.94; +22853 - 4.25; 20937 - 2.79; 20936 - 0; 20930 - 0 | 22326 - 43.34; 22600 - 37.51; 63045 - 37.58; 22842 - 22.35; 22551 - 49.87; 22845 - 21.42; +22853 - 7.64; 20937 - 4.90; 20936 - 0; 20930 - 0 | ||
| Cervical Laminectomies and Instrumented Fusion, 4 Levels | 22600; 22614; 63045; 63048; 22842; 20930; 20936; 20975; 61783 | 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22600 - 17.40; 22614 - 6.43; 63045 - 17.95; 63048 - 3.47; 22842 - 12.56; 20930 - 0; 20936 - 0; 20975 - 2.60; 61783 - 3.75 | 22600 - 37.51; 22614 - 11.47; 63045 - 37.58; 63048 - 6.19; 22842 - 22.35; 20930 - 0; 20936 - 0; 20975 - 5.16; 61783 - 6.83 | ||
| Cervical Laminectomy and Instrumentation, 1 Level | 22600; 63045; 22842; 20930; 20936; 61783 | 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22600 - 17.40; 63045 - 17.95; 22842 - 12.56; 20930 - 0; 20936 - 0; 61783 - 3.75 | 22600 - 37.51; 63045 - 37.58; 22842 - 22.35; 20930 - 0; 20936 - 0; 61783 - 6.83 | ||
| Cervical posterior instrumented fusion below C2 1 level, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22840 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22840 - 2 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22595 - 20.64; +22840 - 12.52; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22840 - 22.26; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 2 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614; +22842 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 - 6.43; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 - 11.47; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 3 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614 x 2; +22842 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 x 2 - 12.86; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 x 2 - 22.94; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 4 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614 x 3; +22842 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 x 3 - 19.29; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 x 3 - 34.41; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 5 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614 × 4; +22842 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 x 4 - 25.72; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 x 4 - 45.88; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 6 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614 x 5; +22842 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 x 5 - 32.15; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 x 5 - 57.35; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 7 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614 x 6; +22843 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22843 - 7 to 12 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 x 6 - 38.58; +22843 - 13.44; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 x 6 - 68.82; +22843 - 23.91; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 8 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN | 22600; +22614 x 7; +22843 | +61783; +20930; +20936; +20937 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 7 to 12 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision | 22600 - 17.40; +22614 x 7 - 45.01; +22843 - 13.44; +22842 - 12.56; 61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22600 - 37.51; +22614 x 7 - 80.29; +22843 - 23.91; +22842 - 22.35; 61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Cervical Traction | 22315 | 22315 - 10.11 | 22315 - 22.25 | |||
| Cervicothoracic Laminectomies and Instrumented Fusion, C3-T3 | 22600; 22610; 22614; 63045; 63046; 63048; 22843; 61783; 20930; 20936; 76000 | 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22843 - 7 to 12 vertebral posterior instrumented fixation | 22600 - 17.40; 22610 - 17.28; 22614 - 6.43; 63045 - 17.95; 63046 - 17.25; 63048 - 3.47; 22843 - 13.44; 61783 - 3.75; 20930 - 0; 20936 - 0; 76000 - 0.17 | 22600 - 37.51; 22610 - 36.7; 22614 - 11.47; 63045 - 37.58; 63046 - 35.58; 63048 - 6.19; 22843 - 23.91; 61783 - 6.83 20930 - 0; 20936 - 0; 76000 - 1.34 | ||
| Cervicothoracic Laminectomies and Instrumented Fusion, C4-T2 | 22600; 22614; 63045; 63048; 22842; 61783; 20936; 20930 | 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22600 - 17.40; 22614 - 6.43; 63045 - 17.95; 63048 - 3.47; 22842 - 12.56; 61783 - 3.75; 20930 - 0; 20936 - 0; | 22600 - 37.51; 22614 - 11.47; 63045 - 37.58; 63048 - 6.19; 22842 - 22.35; 61783 - 6.83; 20936 - 0; 20930 - 0 | ||
| HALO Placement | 20661 | 20661 - 5.26 | 20661 - 14.55 | |||
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic | 22010 | I&D of Deep Infection Posterior Spine, Cervical Lumbar | 22010 - 12.75 | 22010 - 27.56 | ||
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral | 22015 | I&D of Deep Infection Posterior Spine, Lumbosacral | 22015 - 12.64 | 22015 - 27.14 | ||
| Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure) | +22853 | +22853 is used for a device, with fusion, with or without integrated anterior fixation | +22853 - 4.25; | +22853 - 7.64 | ||
| Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure) | +22854 | Used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation | +22854 - 5.50 | +22854 - 9.89 | ||
| Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure) | +22859 | Used for interbody device insertion without fusion | +22859 - 5.50 | +22859 - 9.89 | ||
| Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical | 63275 | Cervical Laminectomies and resection of epidural tumor | 63275 - 25.86 | 63275 - 52.60 | ||
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical | 63265 | Cervical laminectomies and evacuation of epidural hematoma, abscess | 63265 - 23.82 | 63265 - 48.79 | ||
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical | Cervical laminectomy without facetectomy, foraminotomy or discectomy, 1 or 2 levels | 63001 | 63001 - 17.61 | 63001 - 36.23 | ||
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical | Cervical laminectomies without facetectomy, foraminotomy or discectomy, greater than 2 levels | 63015 | 63015 - 20.85 | 63015 - 43.3 | ||
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical | Cervical laminectomy or laminotomy with facetectomy, foraminotomy or discectomy | 63045 | +63048 - each additional level | 63045 - 17.95; +63048 - 3.47 | 63045 - 37.58; +63048 - 6.19 | |
| Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments | Cervical laminoplasty greater than 2 Levels WITHOUT graft and plate | 63050 | 63050 - 22.01 | 63050 - 43.79 | ||
| Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices [eg, wire, suture, mini-plates], when performed | Cervical laminoplasty greater than 2 Levels WITH graft and plate | 63051 | +20931 - for structural bone allograft | 63051 - 25.51; +20931 - 1.81 | 63051 - 49.79; +20931 - 3.29 | |
| Occipital Cervical Fusion to C3 | 22590; 22326; 22600; 22842; 61783; 20937; 20930 | 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22590 - 21.76; 22326 - 20.84; 22600 - 17.40; 22842 - 12.56; 61783 - 3.75; 20937 - 2.79; 20930 - 0 | 22590 - 46.03; 22326 - 43.34; 22600 - 37.51; 22842 - 22.35; 61783 - 6.83; 20937 - 4.9; 20930 - 0 | ||
| Occipital Cervical Fusion to C5 | 22590; 22326; 22600; 22614; 22842; 61783; 20937; 20930 | 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation | 22590 - 21.76; 22326 - 20.84; 22600 - 17.40; 22614 - 6.43; 22842 - 12.56; 61783 - 3.75; 20937 - 2.79; 20930 - 0 | 22590 - 46.03; 22326 - 43.34; 22600 - 37.51; 22614 - 11.47; 22842 - 22.35; 61783 - 6.83; 20937 - 4.9; 20930 - 0 | ||
| Odontoid Screw Placement | 22318 | Odontoid Screw Placement | 22318 - 22.72 | 22318 - 47.79 | ||
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical | 22326 | Do not use this for anterior open reduction. There is no code for anterior reduction and you cannot code for this. | 22326 - 20.84 | 22326 - 43.34 | ||
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical | 22210 | +22216 | 22210 - osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment, this code is a primary code but -51 modifier should be used as other higher value codes would typically precede this code; +22216 - additional levels of osteotomies | 22210 - 25.38; +22216 - 6.03 | 22210 - 51.91; +22216 - 10.62 | |
| Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic | 22510 | +22512 | +22512 - each additional vertebral body | 22510 - 7.90; +22512 - 4.00 | 22510 - 12.63; +22512 - 6.07 | |
| Posterior C1-C2 Instrumented Fusion (for odontoid fracture) - COMPLETE TREATMENT PLAN | 22595, +22840 | 22326, 63001, +61783, +20930, +20936, +20937 | 22595 - C1-C2 Fusion; 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); +22840 - 2 vertebrae posterior instrumentation; 63001 - Cervical laminectomy, 1 or 2 levels; Add decompression code if done; Add neuronavigation code +61783 if used. Add bone graft codes: +20930 - morselized allograft, +20936 - moreselized autograft, +20937 - iliac crest bone graft | 22595 - 20.64; +22840 - 12.52; 22326 - 20.84; 63001 - 17.61; +61783 - 3.75; +20930 - 0; +20936 - 0; +20937 - 2.79 | 22595 - 43.91; +22840 - 22.26; 22326 - 43.34; 63001 - 36.23; +61783 - 6.83; +20930 - 0; +20936 - 0; +20937 - 4.90 | |
| Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) | +22840 | 2 vertebral posterior instrumented fixation; List separately in addition to code for primary procedure; Count vertebrae and not levels. | +22840 - 12.52; | +22840 - 22.26 | ||
| Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments | +22842 | 3 to 6 vertebral posterior instrumented fixation; List separately in addition to code for primary procedure; Count vertebrae and not levels. | +22842 - 12.56; | +22842 - 22.35 | ||
| Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments | +22843 | 7 to 12 vertebral posterior instrumented fixation; List separately in addition to code for primary procedure; Count vertebrae and not levels. | +22843 - 13.44; | +22843 - 23.91 | ||
| Removal of Anterior Instrumentation | Removal of anterior spinal instrumentation | 22855 | 22855 - 15.86 | 22855 - 32.19 | ||
| Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy | 63709 | +69990 | Repair of CSF Leak with Laminectomy. Cannot code with laminectomy codes. | 63709 - 17.23; +69990 - 3.46 | 63709 - 32.02; +69990 - 6.43 | |
| Repair of dural/cerebrospinal fluid leak, not requiring laminectomy | 63707 | +69990 | Repair of CSF Leak without Laminectomy | 63707 - 12.65; +69990 - 3.46 | 63707 - 26.77; +69990 - 6.43 | |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace, cervical | 22861 | 22861 - 33.36 | 22861 - 57.01 | |||
| Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) | 62272 | Spinal Tap, Lumbar Drain Placement | 62272 - 1.35 | 62272 - 2.43 | ||
| Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment | 63081 | +63082 | 63081 - cervical corpectomy one vertebrae; +63082 - additional vertebrae for cervical corpectomy | 63081 - 26.10; +63082 - 4.36; | 63081 - 51.19; +63082 - 7.80 | |
| Second level, cervical (list separately in addition for code for primary procedure) | +22858 | +22858 - 8.40 | +22858 - 14.63 | |||
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) | 0098T | 0098T - No RVU | 0098T - No RVU | |||
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace, cervical | 22864 | 22864 - 29.40 | 22864 - 60.37 | |||
| Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) | 0095T | 0095T - No RVU | 0095T - No RVU | |||
| Removal of posterior nonsegmental instrumentation (eg, Harrington rod) | Removal of posterior instrumentation | 22850 | Use this code if fixation/instrumentation involves only 2 vertebras (not levels) irrespective of how many vertebras are spanned. You cannot report this code if exploration of fusion or reimstrumentation was done. | 22850 - 9.82 | 22850 - 20.98 | |
| Removal of posterior segmental instrumentation | Removal of posterior instrumentation | 22852 | Use this code if fixation/instrumentation involves more than 2 vertebras (not levels) irrespective of how many vertebras are spanned. You cannot report this code if exploration of fusion or reimstrumentation was done. | 22852 - 9.37 | 22852 - 20.08 |