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. Author manuscript; available in PMC: 2017 Sep 13.
Published in final edited form as: Spine (Phila Pa 1976). 2012 May 1;37(10):860–874. doi: 10.1097/BRS.0b013e3182376508
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