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Quick reference guide for CPT codes for Cervical Spine Procedure.

1Official DescriptionCommon DescriptionCodesPossible Additional CodesExplanationsWork RVUTotal RVU
  ACDF & Posterior & Instrumented Fusion, 1 level   22551; 22600; 22842; +22845; +22853; 61783; 20937; 20936; 20930   +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation

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

2 ACDF and Posterior Cervical Laminectomy and Instrumented Fusion, 1 level   22551; 22600; 63045; 22842; 22845; +22853; 20937; 20936; 20930   +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation

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

3 Anterior Cervical Discectomy and Fusion (ACDF) with plating and interbody graft with allograft 1 level, complete treatment plan   22551; +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;

+22845 - 11.94; 

+22853 - 4.25;

20930 - 0

22551 - 49.87;

+22845 - 21.42; 

+22853 - 7.64;

20930 - 0

4 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; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation

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

5 ACDF with plating and interbody graft with allograft 3 levels   22551; 22552; 22846; +22853; 20930   20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation

22551 - 25.00;

22552 - 6.50;

22846 - 12.40

+22853 - 4.25;

20936 - 0

22551 - 49.87;

22552 - 11.68;

22846 - 22.24;

+22853 - 7.64;

20930 - 0

6 ACDF with plating and interbody graft with autograft 1 level   22551; 22845; +22853; 20937   +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

22551 - 25.00;

22845 - 11.94;

+22853 - 4.25;

20936 - 0

22551 - 49.87;

22845 - 21.42;

+22853 - 7.64;

20930 - 0

7 ACDF with plating and interbody graft with autograft 2 levels   22551; 22552; 22845; +22853; 20937   +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

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

8 ACDF with plating and interbody graft with autograft 3 levels - COMPLETE TREATMENT PLAN   22551; 22552 x 2; +22846; +22853 x 3; +20937   22551 - ACDF 1 level; 22552 - ACDF, additional level; +22846 - anterior plating for 4 vertebra; +22853 x 3 - interboday graft for 3 disc spaces; +20937 - iliac crest bone graft (use 20936 for osteophyte from the cervical vertebra

22551 - 25.00;

22552 x 2 - 13.00;

22846 - 12.40

+22853 x 3 - 12.75;

20937 - 2.79

22551 - 49.87;

22552 x 2 - 23.36;

22846 - 22.24;

+22853 x 3 - 22.92;

20937 - 4.90

9 ACDF, Iliac Crest Bone Graft 1 level + ADR 1 level   22551; +22845; +22853; +20937   +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

22551 - 25.00;

+22845 - 11.94;

+22853 - 4.25;

20937 - 2.79

22551 - 49.87;

+22845 - 21.42;

+22853 - 7.64;

20937 - 4.90

11 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2   22551 +22552 for additional level Anterior Cervical Discectomy and Fusion (ACDF)

22551 - 25.00;

+22552 - 6.50

22551 - 49.87;

+22552 - 11.68;

12 Anterior Cervical Discectomy and Fusion (ACDF) 2 levels, with plating, interbody graft, and Iliac Crest Bone Graft + ADR 1 level   22551; +22552; +22845; +22853; +20937   +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

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

14 Anterior Cervical Discectomy and Fusion (ACDF) with decompression with plating and interbody graft with autograft 1 level   22551; +22845; +22853; +20937   +22853 is used for a device, with fusion, with or without integrated anterior fixation

22551 - 25.00;

+22845 - 11.94;

+22853 - 4.25;

20937 - 2.79

22551 - 49.87;

+22845 - 21.42;

+22853 - 7.64;

20937 - 4.9

15 Anterior Cervical Discectomy and Fusion without decompression with plating and structural interbody graft, with iliac crest bone graft, 1 level   22554, +22845, +22551,   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;

+22551 - 25.00

22554 - 36.48;

+22845 - 21.42;

+22551 - 49.87;

16 Artificial Disc Replacement, Cervical 1 level   22856     22856 - 24.05 22856 - 47.62
17 Posterior C1-C2 Instrumented Fusion (for odontoid fracture) - COMPLETE TREATMENT PLAN   22595, +22840 22326, 63001, +61783, +20930, +20936, +20937 22595 - C1-C2 Fusion; 22326 - Posterior Open Reduction of One Cervical Dislocated Segment (Use if reduction was done such as in trauma); +22840 - 2 vertebrae posterior instrumentation; 63001 - Cervical laminectomy, 1 or 2 levels; Add decompression code if done; Add neuronavigation code +61783 if used. Add bone graft codes: +20930 - morselized allograft, +20936 - moreselized autograft, +20937 - iliac crest bone graft

22595 - 20.64; 

+22840 - 12.52;

22326 - 20.84;

63001 - 17.61;

+61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22595 - 43.91; 

+22840 - 22.26;

22326 - 43.34;

63001 - 36.23;

+61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

18 C1-C4 Posterior Instrumented Fusion   22595; 22326; 22600; 22614; 22842; 61783; 20937; 20936; 20930   20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

22595 - 20.64; 

22326 - 20.84;

22600 - 17.40;

22614 - 6.43;

22842 - 12.56;

61783 - 3.75;

20937 - 2.79;

20936 - 0;

20930 - 0

22595 - 43.91;

22326 - 43.34;

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  1 level, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22840 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22840 - 2 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22595 - 20.64; 

+22840 - 12.52;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22840 - 22.26;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

19 Cervical posterior instrumented fusion below C2 2 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614; +22842 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 - 6.43;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 - 11.47;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

  Cervical posterior instrumented fusion below C2 3 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614 x 2; +22842 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 x 2 - 12.86;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 x 2 - 22.94;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

  Cervical posterior instrumented fusion below C2 4 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614 x 3; +22842 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 x 3 - 19.29;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 x 3 - 34.41;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

  Cervical posterior instrumented fusion below C2 5 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614 × 4; +22842 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 x 4 - 25.72;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 x 4 - 45.88;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

  Cervical posterior instrumented fusion below C2 6 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614 x 5; +22842 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 3 to 6 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 x 5 - 32.15;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 x 5 - 57.35;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

  Cervical posterior instrumented fusion below C2 7 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614 x 6; +22843 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22843 - 7 to 12 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 x 6 - 38.58;

+22843 - 13.44;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 x 6 - 68.82;

+22843 - 23.91;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

  Cervical posterior instrumented fusion below C2 8 levels, w/o laminectomies or reduction - COMPLETE TREATMENT PLAN   22600; +22614 x 7; +22843 +61783; +20930; +20936; +20937 22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; +22842 - 7 to 12 vertebral posterior instrumented fixation; +61783 - neuronaviation; +20930 - morselized allograft; +20936 - morselized autograft through same fascial incision; +20937 - morselized autograft through separate fascial incision

22600 - 17.40;

+22614 x 7 - 45.01;

+22843 - 13.44;

+22842 - 12.56;

61783 - 3.75;

+20930 - 0;

+20936 - 0;

+20937 - 2.79

22600 - 37.51;

+22614 x 7 - 80.29;

+22843 - 23.91;

+22842 - 22.35;

61783 - 6.83;

+20930 - 0;

+20936 - 0;

+20937 - 4.90

20 C3/4, C4/5, C5/6 Posterior Fusion, Laminectomies, and Lateral Mass Screw Fixation (Cervical Laminectomies and Instrumented Fusion, 3 Levels)   22600; +22614; 63015; +22842   22600 - posterior cervical fusion code; +22614 - posterior cervical fusion code for each additional level; 63015 - cervical laminectomies without facetectomy, foraminotomies, or discectomy > 2 vertebral segments; 22842 - 3 to 6 vertebral posterior instrumented fixation

22600 - 17.40;

+22614 - 6.43;

63015 - 20.85;

+22842 - 12.56;

22600 - 37.51;

+22614 - 11.47;

63015 - 43.30;

+22842 - 22.35

21 C4 & C5 Corpectomy, Cage and Plate Fusion (Cervical Corpectomy, 2 vertebraes)   63081; +63082; 22554; +22585; +22846; +22853; +22854; +22859   63081 - cervical corpectomy one vertebrae; +63082 - additional vertebrae for cervical corpectomy; 22554 -anterior cervical interbody fusion for one disc space; +22585 - anterior cervical interbody fusion for additional disc space; +22846 - anterior plating for 4 - 7 vertebral segments; +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

63081 - 26.10;

+63082 - 4.36;

22554 - 17.69;

+22585 - 5.52;

+22846 - 12.40;

+22853 - 4.25;

+22854 - 5.50; 

+22859 - 5.50

63081 - 51.19;

+63082 - 7.80;

22554 - 36.48;

+22585 - 9.61;

+22846 - 22.24;

+22853 - 7.64;

+22854 - 9.89; 

+22859 - 9.89

22 C4-C5, C5-C6 and C6-C7 Anterior Cervical Discectomy and Fusion   22551; 22552; 22846; +22853; 20937   +22853 is used for a device, with fusion, with or without integrated anterior fixation

22551 - 25.00;

22552 - 6.50;

+22846 - 12.40;

+22853 - 4.25;

20937 - 2.79

22551 - 49.87;

22552 - 11.68;

+22846 - 22.24;

+22853 - 7.64;

20937 - 4.90

24 Cervical - Corpectomy, 1 vertebrae   63081; 22554; 22585; 22845; +22853; 69990; 20936; 20930   +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation

63081 - 26.10;

22554 - 17.69;

+22585 - 5.52;

+22845 - 11.94;

+22853 - 4.25;

69990 - 3.46;

20936 - 0;

20930 - 0

63081 - 51.19;

22554 - 36.48;

+22585 - 9.61;

+22845 - 21.42;

+22853 - 7.64; 

69990 - 6.43;

20936 - 0;

20930 - 0

25 Cervical - Corpectomy, Front and Back   63081; 22600; 22614; 22554; 22585; 22842; 22845; +22853; 20937; 69990; 20930   20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation

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 - 21.42;

+22853 - 7.64;

20937 - 4.9;

69990 - 6.43;

20930 - 0

26 Cervical Corpectomy, 1 Level and Disc Replacement, 1 Level   22856; 63081; 22554; 22585; 22845; +22853   +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

22856 - 24.05;

63081 - 26.10;

22554 - 17.69;

22585 - 5.52;

22845 - 11.94;

+22853 - 4.25

22856 - 47.62;

63081 - 51.19;

22554 - 36.48;

22585 - 9.61;

22845 - 21.42;

+22853 - 7.64

27 Artificial Disc Replacement 2 levels   22856, +0092T   The additional level is +0092T

22856 - 24.05;

+0092T - No RVU

22856 - 47.62;

+0092T - No RVU

28 Cervical Foraminotomies - Posterior, 1 level   63020; 69990    

63020 - 16.20;

69990 - 3.46

63020 - 33.81;

69990 - 6.43

29 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

30 Cervical Foraminotomies - Posterior, 3 levels   63020; 63035; 69990    

63020 - 16.20;

63035 - 3.15;

69990 - 3.46

63020 - 33.81;

63035 - 5.61;

69990 - 6.43

31 Cervical Front and Back 1 Level   22326; 22600; 63045; 22842; 22551; 22845; +22853; 20937; 20936; 20930   +22845 - anterior cervical instrumentation or plating 2 to 3 vertebral levels; 20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; +22853 is used for a device, with fusion, with or without integrated anterior fixation; 22842 - 3 to 6 vertebral posterior instrumented fixation

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

32 Cervical Laminectomies and Instrumented Fusion, 4 Levels   22600; 22614; 63045; 63048; 22842; 20930; 20936; 20975; 61783   20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

22600 - 17.40;

22614 - 6.43;

63045 - 17.95;

63048 - 3.47;

22842 - 12.56;

20930 - 0;

20936 - 0;

20975 - 2.60;

61783 - 3.75

22600 - 37.51;

22614 - 11.47;

63045 - 37.58;

63048 - 6.19;

22842 - 22.35;

20930 - 0;

20936 - 0;

20975 - 5.16;

61783 - 6.83 

33 Cervical Laminectomy and Instrumentation, 1 Level   22600; 63045; 22842; 20930; 20936; 61783   20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

22600 - 17.40;

63045 - 17.95;

22842 - 12.56;

20930 - 0;

20936 - 0;

61783 - 3.75

22600 - 37.51;

63045 - 37.58;

22842 - 22.35;

20930 - 0;

20936 - 0;

61783 - 6.83

34 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; cervical   63045 +63048 63045 - cervical laminectomy with facetectomy, foraminotomy or discectomy; +63048 - each additional level

63045 - 17.95;

+63048 - 3.47

63045 - 37.58;

+63048 - 6.19

36 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; cervical   63001   Cervical laminectomy without facetectomy, foraminotomy or discectomy, 1 Level or 2 Levels 63001 - 17.61 63001 - 36.23
37 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; cervical   63015   Cervical laminectomy without facetectomy, foraminotomy or discectomy, greater than 2 levels 63015 - 20.85 63015 - 43.3
45 Cervical Traction   22315     22315 - 10.11 22315 - 22.25
46 Cervicothoracic Laminectomies and Instrumented Fusion, C3-T3   22600; 22610; 22614; 63045; 63046; 63048; 22843; 61783; 20930; 20936; 76000   20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22843 - 7 to 12 vertebral posterior instrumented fixation

22600 - 17.40;

22610 - 17.28;

22614 - 6.43;

63045 - 17.95;

63046 - 17.25;

63048 - 3.47;

22843 - 13.44;

61783 - 3.75;

20930 - 0;

20936 - 0;

76000 - 0.17

22600 - 37.51;

22610 - 36.7;

22614 - 11.47;

63045 - 37.58;

63046 - 35.58;

63048 - 6.19;

22843 - 23.91;

61783 - 6.83

20930 - 0;

20936 - 0;

76000 - 1.34

47 Cervicothoracic Laminectomies and Instrumented Fusion, C4-T2   22600; 22614; 63045; 63048; 22842; 61783; 20936; 20930   20936 is morselized autograft through same fascial incision; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

22600 - 17.40;

22614 - 6.43;

63045 - 17.95;

63048 - 3.47;

22842 - 12.56;

61783 - 3.75;

20930 - 0;

20936 - 0;

22600 - 37.51;

22614 - 11.47;

63045 - 37.58;

63048 - 6.19;

22842 - 22.35;

61783 - 6.83;

20936 - 0;

20930 - 0

48 Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical   63265   Cervical laminectomies and evacuation of epidural hematoma, abscess 63265 - 23.82 63265 - 48.79
50 HALO Placement   20661     20661 - 5.26 20661 - 14.55
51 Occipital Cervical Fusion to C3   22590; 22326; 22600; 22842; 61783; 20937; 20930   20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

22590 - 21.76;

22326 - 20.84;

22600 - 17.40;

22842 - 12.56;

61783 - 3.75;

20937 - 2.79;

20930 - 0

22590 - 46.03;

22326 - 43.34;

22600 - 37.51;

22842 - 22.35;

61783 - 6.83;

20937 - 4.9;

20930 - 0

52 Occipital Cervical Fusion to C5   22590; 22326; 22600; 22614; 22842; 61783; 20937; 20930   20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

22590 - 21.76;

22326 - 20.84;

22600 - 17.40;

22614 - 6.43;

22842 - 12.56;

61783 - 3.75;

20937 - 2.79;

20930 - 0

22590 - 46.03;

22326 - 43.34;

22600 - 37.51;

22614 - 11.47;

22842 - 22.35;

61783 - 6.83;

20937 - 4.9;

20930 - 0

53 Odontoid Screw Placement   22318   Odontoid Screw Placement 22318 - 22.72

22318 - 47.79

54 Removal of Anterior Instrumentation   22855     22855 - 15.86 22855 - 32.19
55 Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical   63275   Cervical Laminectomies and resection of epidural tumor 63275 - 25.86 63275 - 52.60
56 Revision of Total Disc Arthroplasty or Cervical Disc   22861     22861 - 33.36 22861 - 57.01
59 Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical   22210 +22216 22210 - osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment, this code is a primary code but -51 modifier should be used as other higher value codes would typically precede this code; +22216 - additional levels of osteotomies

22210 - 25.38;

+22216 - 6.03

22210 - 51.91;

+22216 - 10.62

61 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)   62272   Spinal Tap, Lumbar Drain Placement 62272 - 1.35 62272 - 2.43
62 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   +22853 is used for a device, with fusion, with or without integrated anterior fixation +22853 - 4.25; +22853 - 7.64
63 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 - 5.50 +22854 - 9.89
64 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 - 5.50 +22859 - 9.89
65 Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments   63050   Cervical laminoplasty greater than 2 Levels WITHOUT graft and plate 63050 - 22.01 63050 - 43.79
66 Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices [eg, wire, suture, mini-plates], when performed   63051 +20931 - for structural bone allograft Cervical laminoplasty greater than 2 Levels WITH graft and plate

63051 - 25.51;

+20931 - 1.81

63051 - 49.79;

+20931 - 3.29

67 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; List separately in addition to code for primary procedure; Count vertebrae and not levels. +22840 - 12.52; +22840 - 22.26
68/td> Posterior segmental instrumentation (eg, 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
69 Posterior segmental instrumentation (eg, 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
  Arthrodesis, posterior technique, atlas-axis (C1-C2)   22595     22595 - 20.64 22595 - 43.91
  Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical   22326     22326 - 20.84 22326 - 43.34
  Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment   22600 +22614  

22600 - 17.40;

22614 - 6.43

22600 - 37.51;

+22614 - 11.47

  Burr hole(s) or trephine; with biopsy of brain or intracranial lesion   61140     61140 - 17.23 61140 - 36.96
  Repair of dural/cerebrospinal fluid leak, not requiring laminectomy   63707 +69990 Repair of CSF Leak without Laminectomy

63707 - 12.65;

+69990 - 3.46

63707 - 26.77;

+69990 - 6.43

  Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy   63709 +69990 Repair of CSF Leak with Laminectomy. Cannot code with laminectomy codes.

63709 - 17.23;

+69990 - 3.46

63709 - 32.02;

+69990 - 6.43

  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

  Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment   63081 +63082 63081 - cervical corpectomy one vertebrae; +63082 - additional vertebrae for cervical corpectomy

63081 - 26.10;

+63082 - 4.36;

63081 - 51.19;

+63082 - 7.80

  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 +22851 - No RVU
  Biopsy, vertebral body, open; lumbar or cervical   20251     20251 - 5.72 20251 - 12.26
  Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic   22010   I&D of Deep Infection Posterior Spine, Cervical Lumbar 22010 - 12.75 22010 - 27.56
  Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral   22015   I&D of Deep Infection Posterior Spine, Lumbosacral 22015 - 12.64 22015 - 27.14

 

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