| 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 | |||
| 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 |
