CPT Code	Description	2002	2003	2004	2005	2006	2007	2008	2009
22100	Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical	2		1	12	3	1	2	2
22101	Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic				1		2	1
22102	Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar		6			3	4	4	4
22103	Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment				1	13	5	4	1
22110	Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical	3		3		4	1	3	3
22112	Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic		2	4					1
22114	Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar	2	1	2	2
22116	Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment			1	1	5		5	2
22206	Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral body subtraction); thoracic							2	2
22207	Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral body subtraction); lumbar							1	4
22208	Osteotomy of spine, posterior or posterolateral approach, three columns, one vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment							2	3
22210	Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical	4	4	3	1	2			3
22212	Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; thoracic	2	4	1	3	3		6	3
22214	Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; lumbar	3	3	2	4	5	5	9	17
22216	Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)	1	2	2	4	8		9	11
22220	Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical	2	3	1	1	5	9	5	8
22222	Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic	1				2		1
22224	Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar	6	5	5	2	3		4	4
22226	Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment		1	2	1	1	2	2	4
22305	Closed treatment of vertebral process fracture(s)	6	5	4	4	2	5	5	5
22310	Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing	8	8	17	19	17	21	30	22
22315	Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing, with or without anesthesia, by manipulation or traction	72	53	5	5	5	10	6	2
22318	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	3	4	1	2	7	9	6	7
22326	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebra or dislocated segment; cervical	5	6	3	15	10	11	14	14
22327	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebra or dislocated segment; thoracic	7	11	5	10	13	13	17	13
22328	Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment	1	8	6	10	10	6	7	10
22505	Manipulation of spine requiring anesthesia, any region	3	2	3	8	6	9	7	21
22520	Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic	17	35	29	48	70	80	95	67
22521	Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; lumbar	33	39	28	53	66	117	124	133
22523	Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); thoracic					16	45	88	95
22524	Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); lumbar					25	80	109	133
22525	Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); each additional thoracic or lumbar vertebral body					7	24	40	42
22526	Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level						3	39	31
22527	Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; one or more additional levels						5	14	15
22590	Arthrodesis, posterior technique, craniocervical (occiput-C2)	3	4	2	6	8	5	6	4
22595	Arthrodesis, posterior technique, atlas-axis (C1–C2)	3	5	3	14	9	11	6	15
22600	Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment	27	52	52	85	120	175	282	277
22610	Arthrodesis, posterior or posterolateral technique, single level; thoracic (with or without lateral transverse technique)	15	27	36	31	55	52	74	57
22612	Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral transverse technique)	60	81	178	202	240	365	641	752
22614	Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment	86	168	240	301	394	558	995	1076
22630	Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar	22	57	100	125	149	212	440	479
22800	Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments	2		4	6	12		12	10
22802	Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments	4	6	2	1	3	2	10	11
22804	Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments				3				1
22818	Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments	2				1		2	1
22819	Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments					1		1
22830	Exploration of spinal fusion	4	6	16	25	26	35	76	69
22840	Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation)	41	52	69	115	144	164	378	409
22841	Internal spinal fixation by wiring of spinous processes	2	3	4	4	5	5	6	16
22842	Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments	73	121	204	229	319	424	664	708
22843	Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments	9	12	12	24	31	23	55	48
22844	Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments			2	5			1	1
22845	Anterior instrumentation; 2 to 3 vertebral segments	134	232	243	264	330	422	688	684
22846	Anterior instrumentation; 4 to 7 vertebral segments	15	30	34	42	74	83	112	93
22847	Anterior instrumentation; 8 or more vertebral segments	1			1	1	4	3
22848	Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum			3	3	3		11	18
22849	Reinsertion of spinal fixation device		5	4	13	10	19	29	36
22850	Removal of posterior nonsegmental instrumentation (eg, Harrington rod)	3	3	5	5	9	11	27	22
22851	Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate) to vertebral defect or interspace	95	143	219	285	376	441	922	1081
22852	Removal of posterior segmental instrumentation	22	12	20	29	18	37	51	52
22855	Removal of anterior instrumentation	6	7	12	18	13	28	40	29
22856	Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), single interspace, cervical								28
22857	Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar						2	12	14
22862	Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical						1
22865	Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar						1		1
CPT Uniques = 7890		383	500	559	617	890	1200	1910	2084