| Common Description | Possible Combinations | Procedure Codes | Possible Additional Codes | Explanations | Work RVU | Total RVU |
|---|---|---|---|---|---|---|
| Posterior thoracic discectomy and instrumented fusion | 63055 22610 +22840 | 63055 - discectomy in the thoracic spine involving partial or total removal of pedicle; 22610 - fusion code for one level thoracic posterolateral fusion; +22840 - 2 vertebrae posterior instrumentation | 63055 - 23.55 22610 - 17.28 +22840 - 12.52 | 63055 - 47.59 22610 - 36.7 +22840 - 22.26 | ||
| Thoracic Corpectomies, Cage and Plate Fusion, 2 vertebraes | T11 and T12 corpectomies and cage and plate placement for vertebral osteomyelitis | 63087 +63088 22556-51 +22585 x 2 +22854 | +22853 +22854 +22859 | 63087 for corpectomy for 1 vertebrae; +63088 for additional vertebrae removed; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra, use it twice; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation | 63087 - 37.53 +63088 - 4.32 22556-51 - 24.70 +22585 x 2 - 11.04 +22854 - 5.50 | 63087 - 70.26 +63088 - 7.61 22556-51 - 48.52 +22585 x 2 - 19.22 +22854 - 9.89 |
| Thoracic Corpectomy, Cage and Plate Fusion, 1 vertebrae | 63087 22556-51 +22585 +22845 | +22853 +22854 +22859 | 63087 for corpectomy for 1 vertebrae; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra; +22845 for plate 2 to 3 verterbrae; +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 | 63087 - 37.53 22556-51 - 24.70 +22585 - 5.52 +22845 - 11.94 +22853 - 4.25 +22854 - 5.50 +22859 - 5.50 | 63087 - 70.26 22556 - 48.52 +22585 - 9.61 +22845 - 21.42 +22853 - 7.64 +22854 - 9.89 +22859 - 9.89 | |
| Thoracic instrumented fusion with pedicle screw and rod fixation, 1 level | 22610 +22840 +61783 | 22610 is the fusion code for one level thoracic posterolateral fusion, e.g. T1/T2 fusion = one level; +22840 - 2 vertebral posterior instrumentation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22840 - 12.52 +61783 - 3.75 | 22610 - 36.70 +22840 - 22.26 +61783 - 7.50 | ||
| Thoracic instrumented fusion with pedicle screw and rod fixation, 2 levels | 22610 +22614 +22842 +61783 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3 = two levels; +22842 - 3 to 6 vertebral posterior instrumented fixation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 - 6.43 +22842 - 12.56 +61783 - 3.75 | 22610 - 36.70 +22614 - 11.47 +22842 - 22.35 +61783 - 7.50 | ||
| Thoracic instrumented fusion with pedicle screw and rod fixation, 3 levels | 22610 +22614 x 2 +22842 +61783 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4 = three levels; +22842 - 3 to 6 vertebral posterior instrumented fixation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 x 2 - 12.86 +22842 - 12.56 +61783 - 3.75 | 22610 - 36.70 +22614 x 2 - 22.94 +22842 - 22.35 +61783 - 7.50 | ||
| Thoracic instrumented fusion with pedicle screw and rod fixation, 4 levels | 22610 +22614 x 3 +22842 +61783 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5 = four levels; +22842 - 3 to 6 vertebral posterior instrumented fixation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 x 3 - 19.29 +22842 - 12.56 +61783 - 3.75 | 22610 - 36.70 +22614 x 3 - 34.41 +22842 - 22.35 +61783 - 7.50 | ||
| Thoracic instrumented fusion with pedicle screw and rod fixation, 5 levels | T9-L2 posterior instrumented fusion | 22610 +22614 x 4 +22842 +61783 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5, T5/T6 = five levels; +22842 - 3 to 6 vertebral posterior instrumented fixation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 x 4 - 25.72 +22842 - 12.56 +61783 - 3.75 | 22610 - 36.70 +22614 x 4 - 45.88 +22842 - 22.35 +61783 - 7.50 | |
| Thoracic instrumented fusion with pedicle screw and rod fixation, 7 levels | 22610 +22614 x 6 +22843 +61783 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5, T5/T6, T6/T7, T7/T8 = seven levels; +22843 - 7 to 12 vertebral posterior instrumented fixation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 x 6 - 38.58 +22843 - 13.44 +61783 - 3.75 | 22610 - 36.7 +22614 x 6 - 68.82 +22843 - 23.91 +61783 - 7.50 | ||
| Thoracic Corpectomy for osteomyelities, cage placement, 1 vertebrae via transthoracic approach | 63301 22556-51 +22585 +22854 | 63301 - thoracic corpectomy for osteomyelitis or metastatic disease; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra, use it twice; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation | 63301 - 31.57 22556-51 - 24.7 +22585 - 5.52 +22854 - 5.50 | 63301 - 60.67 22556-51 - 48.52 +22585 - 9.61 +22854 - 9.89 | ||
| Thoracic Corpectomy for osteomyelities, cage placement, 1 vertebrae via thoracolumbar approach | 63302 22556-51 +22585 +22854 | 63302 - thoracic corpectomy for osteomyelitis or metastatic disease at thoracolumbar spine; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra, use it twice; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation | 63302 - 31.15 22556-51 - 24.70 +22585 - 5.52 +22854 - 5.50 | 63302 - 63.13 22556-51 - 48.52 +22585 - 9.61 +22854 - 9.89 | ||
| Thoracic Corpectomy, Cage and Plate Fusion, 1 vertebrae for abscess, tumor, osteomyelitis | T11 corpectomy and cage and plate placement | 63301 22556-51 +22585 +22845 | +22853 +22854 +22859 | 63301 - thoracic corpectomy for osteomyelitis or metastatic disease; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra, use it twice; +22845 for plate 2 to 3 verterbrae; +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 | 63301 - 31.57 22556-51 - 24.70 +22585 - 5.52 +22845 - 11.94 +22853 - 4.25 +22854 - 5.50 +22859 - 5.50 | 63301 - 60.67 22556-51 - 48.52 +22585 - 9.61 +22845 - 21.42 +22853 - 7.64 +22854 - 9.89 +22859 - 9.89 |
| Thoracic Corpectomies, Cage and Plate Fusion, 2 vertebraes for abscess, tumor, osteomyelitis | T8 & T9 corpectomies, cage placement | 63301 63308 22556-51 22585 x 2 22854 20936 | 63301 - thoracic corpectomy for osteomyelitis or metastatic disease; 63088 for additional vertebrae removed; 22556-51 for fusion at one vertebra; 22585 for additional level of fusion at the other vertebra, use it twice; 22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation; 20936 is morselized autograft through same fascial incision | 63301 - 31.57 63308 - 5.24 22556-51 - 24.70 22585 x 2 - 11.04 22854 - 5.50 20936 - 0 | 63301 - 31.57 63308 - 9.47 22556-51 - 24.70 22585 x 2 - 19.22 22854 - 9.89 20936 - 0 | |
| Thoracic instrumented fusion with pedicle screw and rod fixation, 6 levels | T4 - T10 instrumented fusion | 22610 +22614 x 5 +22843 +61783 | +20937 +20936 +20930 | 22610 - fusion code for one level thoracic posterolateral fusion; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5, T5/T6 = five levels; +22843 - 7 to 12 vertebral posterior instrumented fixation; +20936 - morselized autograft through same fascial incision; STARTING IN 2018 CANNOT CODE 63047 FOR DECOMPRESSION. Other possible codes: +20937: morselized autograft through separate fascial incision; +20930 - morselized allograft; Medicare will not pay for 63047 but should bill to keep track of physician productivity +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 x 5 - 32.15 +22842 - 12.56 +20937 - 2.79 +20936 - 0 +20930 - 0 +61783 - 3.75 | 22610 - 36.7 +22614 x 5 - 57.35 +22842 - 22.35 +20937 - 4.90 +20936 - 0 +20930 - 0 +61783 - 7.50 |
| Thoracic laminectomies evacuation of epidural abscess, epidural hematoma, calcified ligamentum flavum, etc. | 63266 | 63266 - 24.68 | 63266 - 50.28 | |||
| 22610 +22614 +22842 22600 22612 | For cervicothoracic or thoracolumbar posterior fusion use 22610 followed by +22614 if majority of the levels are thoracic vertebrae, e.g. T10, T11, T12, L1, L2 or C6, C7, T1, T2, T3. If there are equal number of vertebrae, then simply choose one 22600 (cervical), 22610 (thoracic), or 22612 (lumbar) followed by +22614 for additional levels | 22610 - 17.28 +22614 - 6.43 +22842 - 12.56 22600 - 17.40 22612 - 23.53 | 22610 - 36.70 +22614 - 11.47 +22842 - 22.35 22600 - 37.51 22612 - 46.14 | |||
| Thoracic Decompression and Instrumented Fusion | 63016 22610 +22614 x ? +22842 or +22843 +20936 +20930 | 63016 is thoracic laminectomies without facetectomies, foraminotomies, or discectomies, greater than 2 levels; 22610 is the primary fusion code and refers to one level, e.g. T1/T2 = one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3 = two levels; +22842 - 3 to 6 vertebral posterior instrumented fixation; +22843 - 7 to 12 vertebral posterior instrumented fixation; +20936 is morselized autograft through same fascial incision; +20930 is morselized allograft | 63016 - 22.03 22610 - 17.28 +22614 - 6.43 +22842 - 12.56 +22843 - 13.44 +20936 - 0 +20930 - 0 | 63016 - 44.52 22610 - 36.70 +22614 - 11.47 +22842 - 22.35 +22843 - 23.91 +20936 - 0 +20930 - 0 | ||
| Thoracic kyphoplasty 1 level | 22513 | 10 day global period | 22513 - 8.65 | 22513 - 17.3 | ||
| Thoracic kyphoplasties 2 levels | 22513 +22515 | 10 day global period | 22513 - 8.65 22515 - 4.00 | 22513 - 17.3 22515 - 8.00 | ||
| Thoracic instrumented fusion with pedicle screw and rod fixation, 14 levels | T4 to pelvis | 22610 +22614 x 13 +22843 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T4/T5, T5/T6, T6/T7, T7/T8, T8/T9, T9/T10, T10/T11, T11/T12, T12/L1, L1/L2, L2/L3, L3/L4, L4/L5, L5/S1 = fourteen levels; +22843 - 7 to 12 vertebral posterior instrumented fixation | 22610 - 17.28 +22614 x 13 - 83.59 +22843 - 13.44 | 22610 - 36.7 +22614 x 13 - 149.11 +22843 - 23.91 | |
| Repair of spinal CSF Leak withOUT laminectomy | 63707 69990 | 69990 - Use of microscope | 63707 - 12.65 69990 - 3.46 | 63707 - 26.77 69990 - 6.43 | ||
| Repair of spinal CSF Leak with laminectomy | 63709 69990 | 69990 - Use of microscope | 63709 - 15.65 69990 - 3.46 | 63709 - 31.30 69990 - 6.92 | ||
| Thoracic Corpectomies, Cage and Plate Fusion, 3 vertebraes | T11 and T12 corpectomies and cage and plate placement for vertebral osteomyelitis | 63087 +63088 22556-51 +22585 x 3 +22854 | +22853 +22854 +22859 | 63087 for corpectomy for 1 vertebrae; +63088 for additional vertebrae removed; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra, use it twice; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation | 63087 - 37.53 +63088 - 4.32 22556-51 - 24.70 +22585 x 3 - 16.56 +22854 - 5.50 | 63087 - 70.26 +63088 - 7.61 22556-51 - 48.52 +22585 x 3 - 28.83 +22854 - 9.89 |
| Thoracic instrumented fusion with pedicle screw and rod fixation, 8 levels | 22610 +22614 x 7 +22843 +61783 | 22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5, T5/T6, T6/T7, T7/T8 = seven levels; +22843 - 7 to 12 vertebral posterior instrumented fixation +61783 - use of neuronavigation, e.g. Brainlab, Stealth; ALIF = Anterior Lumbar Interbody Fusion, XLIF = Extreme Lateral Lumbar Interbody Fusion | 22610 - 17.28 +22614 x 7 - 45.01 +22843 - 13.44 +61783 - 3.75 | 22610 - 36.7 +22614 x 6 - 80.29 +22843 - 23.91 +61783 - 7.50 |
