| Common Description | Possible Combinations | Procedure Codes | Possible Additional Codes | Explanations | Work RVU | Total RVU |
|---|---|---|---|---|---|---|
| ACDF (Anterior Cervical Discectomy and Fusion), 1 level | C5-6 anterior cervical discectomy and fusion | 22551 +22853 | +20937 +20936 +20931 +20930 +22845 | 22551 - ACDF (Anterior Cervical Discectomy and Fusion) 1 level; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 - interbody graft/cage; +20937 - cancellous iliac crest graft; +20936 - osteophyte from the cervical vertebra; +20931 - cadaveric structural bone graft (do not use +22853 if this is used); +20930 - morselized allograft | 22551 - 25.00 +22845 - 11.94 +22853 - 4.25 +20937 - 2.79 +20936 - 0 +20931 - 1.81 +20930 - 0 | 22551 - 49.87 +22845 - 21.42 +22853 - 7.64 +20937 - 4.90 +20936 - 0 +20931 - 3.29 +20930 - 0 |
| ACDF (Anterior Cervical Discectomy and Fusion), 2 levels | C5-6 and C6-7 ACDF | 22551 +22552 +22853 x 2 | +20937 +20936 +20931 +20930 +22845 | 22551 - ACDF (Anterior Cervical Discectomy and Fusion) 1 level; +22552 - additional level; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22853 - interbody graft/cage; +20937 - cancellous iliac crest graft; +20936 - osteophyte from the cervical vertebra; +20931 - cadaveric structural bone graft (do not use +22853 if this is used); +20930 - morselized allograft | 22551 - 25.00 +22552 - 6.50 +22845 - 11.94 +22853 x 2 - 8.50 +20937 - 2.79 +20936 - 0 +20931 - 1.81 +20930 - 0 | 22551 - 49.87 +22552 - 11.68 +22845 - 21.42 +22853 x 2 - 15.28 +20937 - 4.90 +20936 - 0 +20931 - 3.29 +20930 - 0 |
| ACDF (Anterior Cervical Discectomy and Fusion), 3 levels | 22551 +22552 x 2 +22846 +22853 x 3 | +20937 +20936 +20931 +20930 | 22551 - ACDF (Anterior Cervical Discectomy and Fusion) 1 level; +22552 - additional level; +22846 - anterior plating for 4 vertebra; +22853 - interbody graft/cage; +20937 - cancellous iliac crest graft; +20936 - osteophyte from the cervical vertebra; +20931 - cadaveric structural bone graft (do not use +22853 if this is used); +20930 - morselized allograft | 22551 - 25.00 +22552 x 2 - 13.00 +22846 - 12.40 +22853 x 3 - 12.75 +20937 - 2.79 +20936 - 0 +20931 - 1.81 +20930 - 0 | 22551 - 49.87 +22552 x 2 - 23.36 +22846 - 22.24 +22853 x 3 - 22.92 +20937 - 4.90 +20936 - 0 +20931 - 3.29 +20930 - 0 | |
| ACDF (Anterior Cervical Discectomy and Fusion), 4 levels | C3-4, C4-5, C5-6, C6-7 ACDF | 22551 +22552 x 3 +22846 +22853 x 4 | +20937 +20936 +20931 +20930 | 22551 - ACDF (Anterior Cervical Discectomy and Fusion) 1 level; +22552 - additional level; +22846 - anterior plating for 4 vertebra; +22853 - interbody graft/cage; +20937 - cancellous iliac crest graft; +20936 - osteophyte from the cervical vertebra; +20931 - cadaveric structural bone graft (do not use +22853 if this is used); +20930 - morselized allograft | 22551 - 25.00 +22552 x 3 - 19.50 +22846 - 12.40 +22853 x 4 - 17 +20937 - 2.79 +20936 - 0 +20931 - 1.81 +20930 - 0 | 22551 - 49.87 +22552 x 3 - 35.04 +22846 - 22.24 +22853 x 4 - 30.56 +20937 - 4.90 +20936 - 0 +20931 - 3.29 +20930 - 0 |
| Cervical posterior instrumented fusion below C2, 1 level, w/o laminectomies or reduction | 22600 +22840 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22840 - 2 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22840 - 12.52 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22840 - 22.26 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 2 levels, w/o laminectomies or reduction | 22600 +22614 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 - 6.43 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 - 11.47 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 3 levels, w/o laminectomies or reduction | 22600 +22614 x 2 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 2 - 12.86 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 2 - 22.94 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20930 - 0 +20936 - 0 | |
| Cervical posterior instrumented fusion below C2, 4 levels, w/o laminectomies or reduction | 22600 +22614 x 3 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 3 - 19.29 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 3 - 34.41 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 5 levels, w/o laminectomies or reduction | 22600 +22614 × 4 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 4 - 25.72 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 4 - 45.88 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20930 - 0 +20936 - 0 | |
| Cervical posterior instrumented fusion below C2, 6 levels, w/o laminectomies or reduction | 22600 +22614 x 5 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 5 - 32.15 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 5 - 57.35 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 7 levels, w/o laminectomies or reduction | C2 to T2 | 22600 +22614 x 6 +22843 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22843 - 7 to 12 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 6 - 38.58 +22843 - 13.44 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 6 - 68.82 +22843 - 23.91 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 |
| Cervical posterior instrumented fusion below C2, 8 levels, w/o laminectomies or reduction | 22600 +22614 x 7 +22843 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22843 - 7 to 12 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 7 - 45.01 +22843 - 13.44 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 7 - 80.29 +22843 - 23.91 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Posterior C1-C2 Instrumented Fusion (for odontoid fracture) | 22595 +22840 | 22326 63001 +61783 +20937 +20936 +20930 | 22595 - C1-C2 Fusion; +22840 - 2 vertebrae posterior instrumentation; 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); 63001 - Cervical laminectomy, 1 or 2 levels; Add neuronavigation code +61783 if used; or cervical laminotomies such as dome laminotomies +20937 - morselized autograft through separate fascial incision; +20936 - moreselized autograft; +20930 - morselized allograft | 22595 - 20.64 +22840 - 12.52 22326 - 20.84 63001 - 17.61 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22595 - 43.91 +22840 - 22.26 22326 - 43.34 63001 - 36.23 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical laminoplasty more than one level with plate and graft | Use these codes if bone graft was used | 63051 | +20931 | 63051 - Under Posterior Extradural Laminotomy or Laminectomy for Exploration/ Decompression of Neural Elements or Excision of Herniated Intervertebral Disks Procedures; +20931 - Under general grafts (or implants) procedures on the musculoskeletal system | 63051 - 25.51 +20931 - 1.81 | 63051 - 49.79 +20931 - 3.29 |
| Cervical posterior instrumented fusion below C2, 1 level w/ laminectomy, facetectomy, forminotomy, or discectomy | 22600 63045 +22840 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22840 - 2 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 63045 -17.95 +22840 - 12.52 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 63045 - 37.58 +22840 - 22.26 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 2 levels w/ laminectomies, facetectomies, forminotomies, or discectomies | 22600 +22614 63045 +63048 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 - 6.43 63045 -17.95 +63048 - 3.47 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 - 11.47 63045 - 37.58 +63048 - 6.19 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 3 levels w/ laminectomies, facetectomies, forminotomies, or discectomies | C4-C7 posterior instrumented fusion | 22600 +22614 x 2 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 2 - 12.86 63045 - 17.95 +63048 x 2 - 6.94 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 2 - 22.94 63045 - 37.58 +63048 x 2 - 12.38 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 |
| Cervical posterior instrumented fusion below C2, 4 levels w/ laminectomies, facetectomies, forminotomies, or discectomies | 22600 +22614 x 3 63045 +63048 x 3 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 3 - 19.29 63045 - 17.95 +63048 x 3 - 10.41 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 3 - 34.41 63045 - 37.58 +63048 x 3 - 18.57 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, FIVE LEVELS WITH laminectomies, facetectomies, forminotomies, or discectomies | C2-C7 decompression and instrumented fusion | 22600 +22614 x 4 63045 +63048 x 4 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 4 - 25.72 63045 - 17.95 +63048 x 4 - 13.88 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 4 - 45.88 63045 - 37.58 +63048 x 4 - 24.76 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 |
| Cervical posterior instrumented fusion below C2, 6 levels w/ laminectomies, facetectomies, forminotomies, or discectomies | 22600 +22614 x 5 63045 +63048 x 5 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 5 - 32.15 63045 - 17.95 +63048 x 5 - 17.35 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 5 - 57.35 63045 - 37.58 +63048 x 5 - 30.95 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Cervical posterior instrumented fusion below C2, 7 levels w/ laminectomies, facetectomies, forminotomies, or discectomies | C2 to T2 | 22600 +22614 x 6 63045 +63048 x 6 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 6 - 38.58 63045 - 17.95 +63048 x 6 - 20.82 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 6 - 68.82 63045 - 37.58 +63048 x 6 - 37.14 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 |
| Cervical posterior instrumented fusion below C2, 8 levels w/ laminectomies, facetectomies, forminotomies, or discectomies | 22600 +22614 x 7 63045 +63048 x 7 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 +22614 x 7 - 45.01 63045 - 17.95 +63048 x 7 - 24.29 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20936 - 0 +20930 - 0 | 22600 - 37.51 +22614 x 7 - 80.29 63045 - 37.58 +63048 x 7 - 43.33 +22842 - 22.35 +61783 - 6.83 +20937 - 4.90 +20936 - 0 +20930 - 0 | |
| Occipital – C2 posterior arthrodesis C2-3, posterior cervical arthrodesis C3-4 additional ONE level posterior cervical arthrodesis C1, C2, C3, C4 FOUR VERTEBRA instrumented fixation with *** Use of neuronavigation with Brainlab Use of morselized autograft Use of morselized allograft with *** | 22590-52 22326 22600-52 +22614 x 2 +22842 +61783 +20937 +20930 | 22590 - Arthrodesis, posterior technique, craniocervical (occiput-C2); 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); 22600 - posterior cervical fusion for C2 to C3; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20930 is morselized allograft | 22590-52 - 21.76 22326 - 20.84 22600-52 - 17.40 +22614 x 2 - 6.43 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20930 - 0 | 22590-52 - 46.03 22326 - 43.34 22600-52 - 37.51 +22614 x 2 - 11.47 +22842 - 22.35 +61783 - 6.83 +20937 - 4.9 +20930 - 0 | ||
| Occipital – C2 posterior arthrodesis C2-3, posterior cervical arthrodesis C3-4 additional ONE level posterior cervical arthrodesis C1, C2, C3, C4 FOUR VERTEBRA instrumented fixation with *** Use of neuronavigation with Brainlab Use of morselized autograft Use of morselized allograft with *** | 22590-52 22326 22600-52 +22842 +61783 +20937 +20930 | 22590 - Arthrodesis, posterior technique, craniocervical (occiput-C2); 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); 22600 - posterior cervical fusion for C2 to C3; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20930 is morselized allograft | 22590-52 - 21.76 22326 - 20.84 22600-52 - 17.40 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20930 - 0 | 22590-52 - 46.03 22326 - 43.34 22600-52 - 37.51 +22842 - 22.35 +61783 - 6.83 +20937 - 4.9 +20930 - 0 | ||
| Occipital – C2 posterior arthrodesis C1, FOUR VERTEBRA instrumented fixation with *** Use of neuronavigation with Brainlab Use of morselized autograft Use of morselized allograft with *** | 22590-52 22326 +22842 +61783 +20937 +20930 | 22590 - Arthrodesis, posterior technique, craniocervical (occiput-C2); 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20930 is morselized allograft | 22590-52 - 21.76 22326 - 20.84 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20930 - 0 | 22590-52 - 46.03 22326 - 43.34 +22842 - 22.35 +61783 - 6.83 +20937 - 4.9 +20930 - 0 | ||
| Artificial disc replacement, ADR, cervical arthroplasty, 1 level | C5-6 ADR | 22856 | 22856 - 24.05 | 22856 - 47.62 | ||
| Cervical corpectomy for infection, osteomyelitis, epidural abscess, one vertebra | C5 corpectomy, C4-5, C5-6 arthrodesis, cage placement, C4-C6 plating | 63300 22554-51 +22585 +22854 +22845 +20937 | 22554-51 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22585 - anterior cervical interbody fusion for additional disc space; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20937 - use this if cancellous iliac crest graft or other morselized autograft is used | 63300 - 27.39 22554-51 - 17.69 +22585 - 5.52 +22854 - 5.50 +22845 - 11.94 +20937 - 2.79 | 63300 - 51.70 22554-51 - 36.48 +22585 - 9.61 +22854 - 9.89 +22845 - 21.42 +20937 - 4.90 | |
| Cervical laminectomies and evacuation of epidural hematoma, abscess | 63265 | 63265 - 23.82 | 63265 - 48.79 | |||
| Cervical posterior instrumented fusion below C2, FOUR LEVELS with laminectomies but without facetectomies, forminotomies, or discectomies | C2-C6 OR C3-7 decompression and instrumented fusion | 22600 22614 x 3 63015-59 22842 61783 20936 | 22600 - posterior cervical fusion code; 22614 - posterior cervical fusion code for each additional level; 22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; 20936 is morselized autograft through same fascial incision | 22600 - 17.40 22614 x 3 - 19.29 63015-59 - 20.85 22842 - 12.56 61783 - 3.75 20936 - 0 | 22600 - 37.51 +22614 x 3 - 34.41 63015-59 - 41.70 22842 - 22.35 61783 - 6.83 20936 - 0 | |
| Artificial disc replacement, ADR, cervical arthroplasty, 2 levels | C5-6 ADR | 22856 +22858 | +22858 - additional level | 22856 - 24.05 '+22858 - 8.40 | 22856 - 47.62 +22858 - 14.63 | |
| Cervical - Corpectomy, Front and Back | Cervical - Corpectomy, Front and Back | 63081 22600 +22614 22554 22585 +22842 22845 +22853 20937 69990 20930 | 22600 - posterior cervical fusion code; +22614 - additional level; 22554 - Use 22554 instead of +22551 if no decompression was done such as in trauma; 22585 - anterior cervical interbody fusion for additional disc space; +22842 - 3 to 6 vertebral posterior instrumented fixation; 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; 20937 - use this if cancellous iliac crest graft or other morselized autograft is used; 20930 is morselized allograft | 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 - 23.88 +22853 - 7.64 20937 - 4.90 69990 - 6.43 20930 - 0 | |
| Cervical Front and Back 1 Level | 22326 22600 63045 +22842 22551 22845 +22853 20937 20936 20930 | 22600 - posterior cervical fusion code; +22842 - 3 to 6 vertebral posterior instrumented fixation; 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; 20937 - use this if cancellous iliac crest graft or other morselized autograft is used; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft | 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 | ||
| Anterior Cervical Discectomy and Fusion without decompression with plating and structural interbody graft, with iliac crest bone graft, 1 level | 22551 22600 +22842 +22853 61783 20937 20936 20930 | +22845 | 22554 - 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 | 22554 - 36.48 +22845 - 21.42 | |
| ACDF & Posterior & Instrumented Fusion, 1 level | 22551 22600 63045 +22842 +22853 20937 20936 20930 | 22845 | 22600 - posterior cervical fusion code; +22842 - 3 to 6 vertebral posterior instrumented fixation; +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; 61783 - neuronavigation; 20937 - use this if cancellous iliac crest graft or other morselized autograft is used; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft | 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 22552 +22853 20930 | 22845 | 22600 - posterior cervical fusion code; +22842 - 3 to 6 vertebral posterior instrumented fixation; 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; 20937 - use this if cancellous iliac crest graft or other morselized autograft is used; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft | 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; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 20930 is morselized allograft | 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 | 22846 - anterior plating for 4 - 7 vertebral segments; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 20930 is morselized allograft | 22551 - 25.00 22552 - 6.50 22846 - 12.40 +22853 - 4.25 20930 - 0 | 22551 - 49.87 22552 - 11.68 22846 - 22.24 +22853 - 7.64 20930 - 0 | ||
| ACDF with plating and interbody graft with autograft 2 levels | 22551 22552 +22853 20937 | 22845 | 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; 20937 - use this if cancellous iliac crest graft or other morselized autograft is used | 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, Iliac Crest Bone Graft 1 level + ADR 1 level | 22551 +22853 +20937 | +22845 | +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; +20937 - use this if cancellous iliac crest graft or other morselized autograft is used | 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 +22853 +20937 | +22845 | +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; +20937 - use this if cancellous iliac crest graft or other morselized autograft is used | 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 +22853 +20937 | +22845 | +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; +20937 - use this if cancellous iliac crest graft or other morselized autograft is used | 22551 - 25.00 +22845 - 11.94 +22853 - 4.25 +20937 - 2.79 | 22551 - 49.87 +22845 - 21.42 +22853 - 7.64 +20937 - 4.90 | |
| Cervical posterior instrumented fusion below C2 , FIVE LEVELS WITHOUT laminectomies, facetectomies, forminotomies, or discectomies | C2-C7 instrumented fusion | 22600 +22614 x 4 63015 +22842 | +61783 +20937 +20936 +20930 | 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20936 - morselized autograft through same fascial incision; +20930 - morselized allograft | 22600 - 17.40 22614 x 4 - 25.72 63015 - 20.85 22842 - 12.56 61783 - 3.75 20936 - 0 | 22600 - 37.51 +22614 x 4 - 45.88 63015 - 41.70 22842 - 22.35 61783 - 6.83 20936 - 0 |
| Cervical - Corpectomy, ONE VERTEBRA for degenerative condition requiring decompression | 63081 22554 +22585 +22845 +22854 | +69990 +20936 +20930 | 63081 - cervical corpectomy one vertebrae; 22554 - use 22554 instead of +22551 if no decompression was done such as in trauma; +22585 - anterior cervical interbody fusion for additional disc space; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation; +69990 - use of microscope; +20936 is morselized autograft through same fascial incision; +20930 is morselized allograft | 63081 - 26.10 22554 - 17.69 +22585 - 5.52 +22845 - 11.94 +22854 - 5.50 +69990 - 3.46 +20936 - 0 + 20930 - 0 | 63081 - 51.19 22554 - 36.48 22585 - 9.61 +22845 - 23.88 +22854 - 9.89 +69990 - 6.92 +20936 - 0 +20930 - 0 | |
| Cervical - Corpectomies, 2 vertebras for trauma requiring no decompression | 63081 +63082 22554 +22585 +22845 +22854 | +69990 +20936 +20930 | 63081 - cervical corpectomy one vertebrae; +63082 - additional vertebrae for cervical corpectomy; 22554 - use 22554 instead of +22551 if no decompression was done such as in trauma; +22585 - anterior cervical interbody fusion for additional disc space; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation; +69990 - use of microscope; +20936 is morselized autograft through same fascial incision; +20930 is morselized allograft | 63081 - 26.10 63082 - 4.36 22554 - 17.69 +22585 - 5.52 +22845 - 11.94 +22854 - 5.50 +69990 - 3.46 +20936 - 0 + 20930 - 0 | 63081 - 51.19 63082 - 8.72 22554 - 35.38 22585 - 9.61 +22845 - 23.88 +22854 - 9.89 +69990 - 6.92 +20936 - 0 +20930 - 0 | |
| 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 x 2 +69990 | 63020 - 16.20 63035 - 6.30 69990 - 3.46 | 63020 - 33.81 63035 - 11.22 69990 - 6.43 | |||
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting | Odontoid screw placement WITHOUT plate | 22318 | 22318 - 22.72 | 22318 - 45.44 | ||
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting | Odontoid screw placement WITH plate | 22319 | 22319 - 25.33 | 22319 - 50.66 | ||
| Cervical - Corpectomies, 3 vertebras for degenerative condition requiring decompression | C4, C5, and C6 corpectomies, cage and plate fixation | 63081 +63082 x 2 22551 +22585 x 2 +22845 22854 | 69990 20936 20930 | 63081 - cervical corpectomy one vertebrae; +63082 - additional vertebrae for cervical corpectomy; 22551 - ACDF (Anterior Cervical Discectomy and Fusion) 1 level; +22585 - anterior cervical interbody fusion for additional disc space; +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; +22854 is used for a device to fill a corpectomy defect, with fusion, with or without integrated anterior fixation; +69990 - use of microscope; +20936 is morselized autograft through same fascial incision; +20930 is morselized allograft | 63081 - 26.10 63082 x 2 - 8.72 22551 - 25.00 +22585 x 2 - 11.04 +22845 - 11.94 +22854 - 5.50 +69990 - 3.46 +20936 - 0 + 20930 - 0 | 63081 - 51.19 63082 x 2 - 17.44 22551 - 49.87 +22585 x 2 - 19.22 +22845 - 23.88 +22854 - 9.89 +69990 - 6.92 +20936 - 0 +20930 - 0 |
| 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 | ||
| Occipital – C2 posterior arthrodesis C2-3, posterior cervical arthrodesis C3-4 additional ONE level posterior cervical arthrodesis C1, C2, C3, C4 four VERTEBRA instrumented fixation with *** Use of neuronavigation with Brainlab Use of morselized autograft Use of morselized allograft with *** | 22590-52 22326 22600-52 +22614 +22842 +61783 +20937 +20930 | 22590-52 - Arthrodesis, posterior technique, craniocervical (occiput-C2); 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); 22600-52 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronavigation; +20937 - morselized autograft through separate fascial incision; +20930 - morselized allograft | 22590-52 - 21.76 22326 - 20.84 22600-52 - 17.40 +22614 - 3.22 +22842 - 12.56 +61783 - 3.75 +20937 - 2.79 +20930 - 0 | 22590-52 - 46.03 22326 - 43.34 22600-52 - 37.51 +22614 - 5.74 +22842 - 22.35 +61783 - 6.83 +20937 - 4.9 +20930 - 0 | ||
| Cervical posterior instrumented fusion below C2, SEVEN LEVELS with laminectomies but WITHOUT facetectomies, forminotomies, or discectomies | C3-T2 posterior decompression and instrumented fusion | 22600 22614 x 5 63015-59 22843 61783 20936 20930 | 22600 - posterior cervical fusion code; 22614 x 5 - posterior cervical fusion code for each additional level; 22843 - 7 to 12 vertebral posterior instrumented fixation; 61783 - neuronavigation; 20936 - osteophyte from the cervical vertebra; 20930 - morselized allograft | 22600 - 17.40 22614 x 5 - 32.15 63015-59 - 20.85 22843 - 13.44 61783 - 3.75 20936 - 0 20930 - 0 | 22600 - 37.51 22614 x 5 - 57.35 63015-59 - 41.70 22843 - 23.91 61783 - 6.83 20936 - 0 20930 - 0 | |
| Laminoplasty, cervical, with decompression of the spinal cord, two or more vertebral segments; | Cervical laminoplasty WITHOUT plates | 63050 | 63050 - 22.01 | 63050 - 43.79 |