| Official Description | Common Description | Procedure Code | Possible Additional Codes | Explanations | Work RVU | 2024 Total Facility RVU |
|---|---|---|---|---|---|---|
| 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; Must have primary code and cannot bill by itself; Count vertebrae and not levels. | +22840 - 12.52 | +22840 - 22.26 | ||
| Posterior segmental instrumentation (e.g., 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 (e.g., 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 | ||
| Posterior segmental instrumentation (e.g., pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments | +22844 | +22844 - 16.42 | +22844 - 32.84 | |||
| Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) | Iliac screw or bolt, sacral-alar-iliac screws, SAI screws; Pelvis instrumeted fusion | +22848 | +22848 - 5.99 | +22848 - 11.98 | ||
| 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 +22853 - 4.25 | 22851 - No RVU +22853 - 7.64 | ||
| 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 | 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 - 5.5 | +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 - 5.5 | 22859 - 9.89 | ||
| X-STOP, 2 Level | 0171T# 0172T# | 0171T# - 0 0172T# - 0 | 0171T# - 0 0172T# - 0 | |||
| Biopsy, vertebral body, open; lumbar or cervical | 20251 | 20251 - 5.72 | 20251 - 12.26 | |||
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral | I&D of deep below fascia or subfascial infection or abscess, lumbosacral | 22015 | 22015 - 12.64 | 22015 - 27.14 | ||
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar | Smith-Pete osteotomy (SPO) | 22214 | +22216 is for additional levels of osteotomies | 22214 can be used for Smith-Petersen or Ponte osteotomy; it is a primary code and -51 modifier should be used as other higher value codes would typically precede this code | 22214 - 21.02 +22216 - 6.03 | 22214 - 43.17 +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 | |
| Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar | Kyphoplasty | 22514 | +22515 | +22515 - each additional vertebral body; 10 day global period | 22514 - 7.99 +22515 - 4.00 | 22514 - 14.06 +22515 -6.54 |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar | ALIF, Anterior Lumbar Interbody Fusion, XLIF, DLIF, Extreme Lateral Lumbar Interbody Fusion | 22558 | +22585 | 22585 for each additional level | 22558 - 23.53 +22585 - 5.52 | 22558 - 44.64 |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each addrtional interspace (List separately in addition to code for primary procedure) | +22585 | +22585 - 5.52 | +22585 - 11.04 | |||
| Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed) | 22612 | +22614 | +22614 is an additional level | 22612 - 23.53 +22614 - 6.43 | 22612 - 46.14 +22614 - 11.47 | |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar | Posterior Lumbar Interbody Fusion (PLIF) or Transforaminal Interbody Fusion (TLIF) WITHOUT posterolateral fusion | 22630 | +22632 - each additional interspace | Use for Minimally Invasive (MIS) TLIF. Do not add 22612 or 22614 if posterolateral fusion was done. Instead use 22633. May use laminectomy code 63047 if decompression was done beyond needed for the interbody fusion. | 22630 - 20.50 +22632 - 5.22 | 22630 - 43.77 +22632 - 9.43 |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar | Posterior Lumbar Interbody Fusion (PLIF) or Transforaminal Interbody WITH posterolateral fusion; Fusion (TLIF) WITHOUT posterolateral fusion | 22633 | +22634 | 22633 - 20.50 +22634 - 8.16 | 22633 - 44.10 +22634 - 14.55 | |
| Removal of anterior instrumentation | Removal of anterior spinal instrumentation | 22855 | 22855 - 15.86 | 22855 - 32.19 | ||
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar | Lumbar ADR | 22857 | +22860 | 22867 for first level and 22860 for additional level | 22857 - 27.13 22860 - 6.88 | 22857 - 51.43 22860 - 13.76 |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level | Coflex placement with laminotomy and without fusion | 22867 | +22868 - second level | Do not code for decompression like 63047 as the decompression is included in 22867 and +22868 | 22867 - 13.50 +22868 - 4.00 | 22867 - 28.55 +22868 - 7.14 |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level | Coflex placement withOUT laminotomy and without fusion | 22869 | +22870 - second level | 22869 - 7.03 +22870 - 2.34 | 22869 - 15.70 +22870 - 4.16 | |
| Spinal puncture, lumbar, diagnostic modifier 53 (Discontinued procedure) | 62270 | 62270 - 1.47 | 62270 - 2.25 | |||
| Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) | Lumbar Drain Placement | 62272 | Do not use 62350 or 62365 as these codes are for lumbar catheters for long-term like pain pump. | Spinal Tap, Lumbar Drain Placement | 62272 - 1.35 | 62272 - 2.43 |
| 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; lumbar, except for spondylolisthesis | 63005 | Can be used for laminotomies as well | 63005 - 16.43 | 63005 - 34.45 | ||
| 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; lumbar | 63017 | Can be used for laminotomies as well | 63017 - 17.33 | 63017 - 36.67 | ||
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar | Lumbar microdiscectomy | 63030 | +69990 +63035 | +69990 Use of microscope; +63035 - each additional interspace, cervical or lumbar (list separately in addition to code for primary procedure) | 63030 - 13.18 +69990 - 3.46 +63035 - 3.15 | 63030 - 28.2 +69990 - 6.43 +63035 - 6.30 |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar | Redo lumbar microdiscectomy | 63042 | +63044 +69990 | +63044 - additional level; +69990 - use of microscope | 63042 - 18.76 +63044 - 0.00 +69990 - 3.46 | 63042 - 37.67 +63044 - 0.00 +69990 - 6.43 |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, each additional lumbar interspace (list separately in addition to code for primary procedure) | +63044 | +63044 - 0.00 | +63044 - 0.00 | |||
| 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; lumbar | Lumbar laminectomy OR laminotomy with facetectomies and foraminotomies, can be unilateral or bilateral | 63047 | +22632 +63048 | +22632 - each additional interspace; +63048 - additional segment | 63047 - 15.37 +22632 - 5.22 +63048 - 3.47 | 63047 - 32.06 +22632 - 9.43 +63048 - 6.94 |
| 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; each additional segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure) | +63048 | +63048 - 3.47 | +63048 - 6.94 | |||
| Transpedicular approach with decompression of spinal cord, equina and/or nerve (roots) (e.g, herniated intervertebral disk), single segment lumbar (including transfacet, or lateral extraforaminal approach) (e.g. far lateral herniated intervertebral disc) | 63056 | +63057 | 63056 - 21.86 +63057 - 5.25 | 63056 - 43.21 +63057 - 10.50 | ||
| Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment | L3, L5 corpectomy | 63090 | 63090 - 30.93 | 63090 - 56.83 | ||
| Laminectomy, with release of tethered spinal cord, lumbar | 63200 | 63200 - 21.44 | 63200 - 44.99 | |||
| Laminectomy for excision of intraspinal lesion other than neoplasm, intradural, lumbar | Removal of lumbar spine arachnoid cyst | 63272 | 63272 - 27.50 | 63272 - 55.20 | ||
| Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar | 63277 | +69990 | +69990 Use of microscope | 63277 - 22.39 +69990 - 3.46 | 63277 - 45.25 +69990 - 6.43 | |
| Laminectomy and Removal of Lesion other than Herniated Disc | Lumbar laminectomy(ies) for epidural tumor, e.g. metastatic cancer, schwannoma | 63295 | 63295 - 5.25 | 63295 - 9.82 | ||
| Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy | Repair of CSF leak with laminectomy | 63709 | 69990 - Use of microscope | Do not code a separate laminectomy code; 69990 - Use of microscope | 63709 - 15.65 69990 - 3.46 | 63709 - 32.02 +9990 - 6.43 |
| Removal of posterior segmental instrumentation | Removal of posterior instrumentation such as pedicle screws and rods for MORE THAN ONE level or MORE THAN TWO vertebras, e.g. L4-5 and L5-S1 | 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 reinstrumentation was done. | 22852 - 9.37 | 22852 - 20.08 | |
| Exploration of penetrating wound (separate procedure); abdomen/flank/back | Exploration of gunshot wound to back and remova; bullet | 20102 | 20102 -3.98 | 20102 - 7.34 | ||
| Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device | Percutaneous SI joint fusion | 27279 | 27279 - 9.03 | 27279 - 19.93 | ||
| Exploration of spinal fusion | Exploration of spinal fusion | 22830 | 22830 - 11.22 | 22830 - 23.60 | ||
| Repair of dural/cerebrospinal fluid leak, not requiring laminectomy | Repair of spinal CSF Leak withOUT laminectomy | 63707 | 63707 - 12.65 | 63707 - 25.30 | ||
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) | 20245 | Excisional biopsy of bone, deep | 20245- 6.00 | 20245 - 12.00 | ||
| Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment | T12, L1 corpectomy | 63087 | +63088 | +63088 - additional level | 63087 - 37.53 +63088 - 4.32 | 63087 - 70.26 +63088 - 7.61 |
| Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) | Biopsy of vertebral body | 20225 | 20225 - 1.87 | 20225 - 3.74 | ||
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar (List separately in addition to code for primary procedure) | +63035 | +63035 - 3.15 | +63035 - 6.30 | |||
| Laminectomy with removal of abnormal facets and/or parts interarticularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) | 63012 | 63012 - 16.85 | 63012 - 33.70 | |||
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar | 22862 | 22862 - 32.63 | 22862 - 65.26 | |||
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar | 22865 | 22865 - 31.75 | 22865 - 63.50 | |||
| Removal of posterior nonsegmental instrumentation | Removal of posterior instrumentation such as pedicle screws and rods for ONE level or TWO vertebras, e.g. L5-S1 | 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 reinstrumentation was done. | 22850 - 9.82 | 22850 - 19.64 | |
| Closed treatment of vertebral body fracture(s), without manipulation, requiring and including 9a ting or bracing | 22310 | 22310 - 3.89 | 22310 - 7.78 | |||
| Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing, by manipulation or traction | 22315 | 22315 - 10.11 | 22315 - 20.22 | |||
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebrae or dislocated segment; lumbar | 22325 | 22325 - 19.87 | 22325 - 39.74 | |||
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebrae or dislocated segment (List separately in addition to code for primary procedure) | +22328 | +22328 - 4.60 | +22328 - 9.20 | |||
| Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (e.g., for tumor or retropulsed bone fragments); lumbar, single segment | 63102 | 63102 - 34.10 | 63102 - 68.20 | |||
| Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (e.g., for tumor or retropulsed bone fragments); thoracic or lumbar, each additional segment (List separately in addition to code for primary procedure) | +63103 | +63103 - 4.82 | +63103 - 9.64 | |||
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar | 22533 | 22533 - 24.79 | 22533 - 49.58 | |||
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure) | +22534 | +22534 - 5.99 | +22534 - 11.98 | |||
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar | 22224 | +22226 | +22226 - each additional vertebral segment | 22224 - 23.09 | 22224 - 46.18 | |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, edicle/vertebral body subtraction); lumbar | 22207 | +22208 | +22208 - each additional vertebral segment | 22207 - 36.68 | 22207 - 73.36 | |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments | 22800 | 22800 - 19.50 | 22800 - 39.00 | |||
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7to12 vertebral segments | 22802 | 22802 - 32.11 | 22802 - 64.22 | |||
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments | 22808 | 22808 - 27.51 | 22808 - 55.02 | |||
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments | 22810 | 22810 - 31.50 | 22810 - 63.00 | |||
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments | 22812 | 22812 - 34.25 | 22812 - 68.50 | |||
| Dural graft, spinal | 63710 | 63710 - 15.40 | 63710 - 30.80 | |||
| Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single | I&D simple | 10060 | 10060 - 1.22 | 10060 - 2.44 | ||
| Incision and drainage of hematoma, seroma or fluid collection | I&D of hematoma, seroma or fluid collection | 10140 | 10140 - 1.58 | 10140 - 3.16 | ||
| Incision and drainage, complex, postoperative wound infection | I&D complex | 10180 | 10 days global period | 10180 - 2.30 | 10180 - 4.60 | |
| Treatment of superficial wound dehiscence; simple closure | Treatment of superficial would dehiscence simple | 12020 | 12020 - 2.67 | 12020 - 5.34 | ||
| Treatment of superficial wound dehiscence; with packing | 12021 | 12021 - 1.89 | 12021 - 3.78 | |||
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm | Complex repair, scalp codes | 13120 | 13120 - 3.23 | 13120 - 6.46 | ||
| Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm | Complex repair, scalp codes | 13121 | 13121 - 4.00 | 13121 - 8.00 | ||
| Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) | Complex repair, scalp codes | 13122 | 13122 - 1.44 | 13122 - 2.88 | ||
| Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) | 20680 | 20680 - 5.96 | 20680 - 11.92 | |||
| Unlisted code | 28999 | 28999 - 0.00 | 28999 - 0.00 | |||
| Structural allograft | Structural cadaveric bone graft | 20931 | 20931 - 1.81 | 20931 - 3.62 | ||
| Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar | Removal of intradural, extramedullary tumor, lumbar spine | 63282 | 63282 - 28.15 | 63282 - 57.68 | ||
| 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; sacral | 63011 | 63011 - 15.91 | 63011 - 31.82 | |||
| Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) | +61783 | +61783 - 3.75 | +61783 - 7.50 | |||
| Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) | DBM, Infuse, Osteocell | +20930 | +20930 - 0.00 | +20930 - 0.00 | ||
| Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure) | Local autograft | +20936 | +20936 - 0.00 | +20936 - 0.00 | ||
| Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) | Iliac crest bone graft | +20937 | +20937 - 2.79 | +20937 - 5.58 | ||
| Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed | Open SI joint fusion | 27280 | ICD-10 Diagnosis Code: M46.1X, Sacroiliac joint disorder/dysfunction; Medicare CY 2021 national average payment: $1,399.56 | 27280 - 20.00 | 27280 - 40.00 | |
| Laminectomy, facetectomy or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve roots(s) eg. spinal or lateral recess stenosis, during posterior interbody arthrodesis, lumbar; single vertebral segment | 63052 | 63053 - each additional vertebral segment | 63052 - 4.25 63053 - 3.19 | 63052 - 8.5 63053 - 6.38 | ||
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural | Lumbar laminectomies and evacuation of epidural abscess; Synovial Cyst Resection | 63267* | 63267 - 18.21* | 63267 - 25.66* |