Call Us: 858-909-9033

Quick reference guide for CPT codes for thoracic spine procedures.

S/NOfficial DescriptionCommon DescriptionProcedure CodesPossible Additional CodesExplanationsWork RVUTotal RVU
  Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic   63266   Thoracic laminectomies evacuation of epidural abscess, epidural hematoma, etc. 63266 - 24.68 63266 - 50.28
3 I&D of Deep Subfascial Posterior Thoracic Wound   22010     22010 - 12.75 22010 - 27.56
6 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic   22327 +22328 Open reduction of thoracic spine fracture and/or dislocation posterior approach, 1 level; +22328 - each additional level

22327 - 20.77;

+22328 - 4.6o

22327 - 43.59;

+22328 - 8.27

8 For cervicothoracic or thoracolumbar posterior fusion use 22610 followed by +22614 if majority of the levels are thoracic vertebrae, e.g. T10, T11, T12, L1, L2 or C6, C7, T1, T2, T3. If there are equal number of vertebrae, then simply choose one 22600, 22610, 22612        

22610 - 17.28;

+22614 - 6.43;

+22614-59 - No RVU;

+22842 - 12.56;

22600 - 17.40; 

22612 - 23.53

22610 - 36.7;

+22614 - 11.47;

+22614-59 - No RVU;

+22842 - 22.35;

22600 - 37.51; 

22612 - 46.14

9 Thoracic corpectomies, cage and plate fusion, 2 vertebraes - COMPLETE TREATMENT PLAN Thoracic Corpectomies, Cage and Plate Fusion, 2 vertebraes 63087; +63088; 22556-51; +22585; +22846; +22854; +22859   63087 for corpectomy for 1 vertebrae; +63088 for additional vertebrae removed; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra, use it twice; +22846 for plate 4 to 7 verterbrae; 

+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

63087 - 37.53;

+63088 - 4.32;

22556 - 24.70; 

+22585 - 5.52;

+22846 - 12.40;

+22854 - 5.50;

+22859 - 5.50

63087 - 70.26;

+63088 - 7.61;

22556 - 48.52; 

+22585 - 9.61;

+22846 - 22.24;

+22854 - 9.89;

+22859 - 9.89

10 Thoracic corpectomy, cage and plate fusion, 1 vertebrae - COMPLETE TREATMENT PLAN Thoracic Corpectomy, Cage and Plate Fusion, 1 vertebrae 63087; 22556-51; +22585; +22846; +22854; +22859   63087 for corpectomy for 1 vertebrae; 22556-51 for fusion at one vertebra; +22585 for additional level of fusion at the other vertebra; +22845 for plate 2 to 3 verterbrae; 

+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

63087 - 37.53;

22556 - 24.70; 

+22585 - 5.52;

+22846 - 12.40;

+22854 - 5.50;

+22859 - 5.50

63087 - 70.26; 

22556 - 48.52; 

+22585 - 9.61; 

+22846 - 22.24;

+22854 - 9.89;

+22859 - 9.89

11 Thoracic Decompression and Instrumented Fusion   63016; 22610; +22614 x ?; +22842 or +22843; +20936; +20930   63016 is thoracic laminectomies without facetectomies, foraminotomies, or discectomies, greater than 2 levels; 22610 is the primary fusion code and refers to one level, e.g. T1/T2 = one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3 = two levels; +22842 - 3 to 6 vertebral posterior instrumented fixation; +22843 - 7 to 12 vertebral posterior instrumented fixation; +20936 is morselized autograft through same fascial incision; +20930 is morselized allograft

63016 - 22.03; 

22610 - 17.28; 

22614 - 6.43;

+22842 - 12.56;

+22843 - 13.44;

+20936 - 0;

+20930 - 0

63016 - 44.52; 

22610 - 36.70; 

22614 - 11.47;

+22842 - 22.35;

+22843 - 23.91;

+20936 - 0;

+20930 - 0

12 Posterior thoracic discectomy and instrumented fusion - COMPLETE TREATMENT PLAN   63055; 22610; +22840  

63055 - discectomy in the thoracic spine involving partial or total removal of pedicle; 22610 - fusion code for one level thoracic posterolateral fusion;
+22840 - 2 vertebrae posterior instrumentation

63055 - 23.55; 

22610 - 17.28;

+22840 - 12.52

 

63055 - 47.59; 

22610 - 36.7;

+22840 - 22.26

 

13 Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic Thoracic laminectomies and extradural tumor removal 63276 +69990 - use of microscope   63276 - 25.69 63276 - 52.31
    Thoracic laminectomies and resection of epidural metastatic tumor and instrumented fixation WITHOUT FUSION, 2 levels - COMPLETE TREATMENT PLAN 63276 - thoracic laminectomies and extradural tumor removal +22842 - 3 vertebra fixation; +61783 - use of Brainlab  

63276 - 25.69;

+22842 - 12.56;

+61783 - 3.75 

63276 - 52.31;

+22842 - 22.35;

+61783 - 6.83

14 Thoracic laminectomies and resection of epidural metastatic tumor and instrumented FUSION 5 levels - COMPLETE TREATMENT PLAN Thoracic Extradural Tumor Removal, Instrumented Fusion, 5 Levels 63276 - thoracic laminectomies and extradural tumor removal 22610; 22614; 22842; 61783; 20937; 20930 22610 is the fusion code for one level thoracic posterolateral fusion; 20930 is morselized allograft; 22842 - 3 to 6 vertebral posterior instrumented fixation

63276 - 25.69; 

22610 - 17.28;

22614 - 6.43;

22842 - 12.56;

61783 - 3.75

20937 - 2.79;

20930 - 0

63276 - 52.31; 

22610 - 36.7;

22614 - 11.47;

22842 - 22.35;

61783 - 6.83;

20937 - 4.90;

20930 - 0

15 Thoracic Instrumented Fusion with pedicle screw and rod fixation, 1 level   22610; +22840; +22614   22610 is the fusion code for one level thoracic posterolateral fusion, e.g. T1/T2 fusion = one level; +22840 - 2 vertebral posterior instrumentation

22610 - 17.28;

+22840 - 12.52

22610 - 36.70;

+22840 - 22.26

16 Thoracic Instrumented Fusion with pedicle screw and rod fixation, 2 levels   22610; +22614 x 1; +22842   22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3 = two levels; +22842 - 3 to 6 vertebral posterior instrumented fixation

22610 - 17.28;

+22614 - 6.43;

+22842 - 12.56

22610 - 36.70;

+22614 - 11.47;

+22842 - 22.35

17 Thoracic Instrumented Fusion with pedicle screw and rod fixation, 3 levels   22610; +22614 x 2; +22842   22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4 = three levels; +22842 - 3 to 6 vertebral posterior instrumented fixation

22610 - 17.28;

+22614 x 2 - 12.86;

+22842 - 12.56

22610 - 36.70;

+22614 x 2 - 22.94;

+22842 - 22.35

18 Thoracic Instrumented Fusion with pedicle screw and rod fixation, 4 levels   22610; +22614 x 3; +22842   22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5 = four levels; +22842 - 3 to 6 vertebral posterior instrumented fixation

22610 - 17.28;

+22614 x 3 - 19.29;

+22842 - 12.56

22610 - 36.70;

+22614 x 3 - 34.41;

+22842 - 22.35

19 Thoracic Instrumented Fusion with pedicle screw and rod fixation, 5 levels   22610; +22614 x 4; +22842   22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5, T5/T6 = five levels; +22842 - 3 to 6 vertebral posterior instrumented fixation

22610 - 17.28;

+22614 x 4 - 25.72;

+22842 - 12.56

22610 - 36.70;

+22614 x 4 - 45.88;

+22842 - 22.35

21 Thoracic Instrumented Fusion with pedicle screw and rod fixation, 7 levels   22610; +22614 x 6; +22843   22610 is the primary fusion code and refers to one level; +22614 is the add on fusion code for each additional level, e.g. T1/T2, T2/T3, T3/T4, T4/T5, T5/T6, T6/T7, T7/T8 = seven levels; +22843 - 7 to 12 vertebral posterior instrumented fixation

22610 - 17.28;

+22614 x 6 - 38.58;

+22842 - 12.56

22610 - 36.7;

+22614 x 6 - 68.82;

+22843 - 23.91

22 Thoracic Kyphoplasty 1 Level   22523; 76012   22523; 76012

22523 - No RVU;

76012 - No RVU

22523 - No RVU;

76012 - No RVU

23 Thoracic Kyphoplasty 2 Levels   22523; 22525; 76012   22523; 22525; 76012

22523 - No RVU;

22525 - No RVU;

76012 - No RVU

22523 - No RVU;

22525 - No RVU;

76012 - No RVU

25 Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic   63271 +69990 63271 - thoracic laminectomy (ies)  and evacuation of intradural hematoma; +69990 - use of microscope

63271 - 29.92;

+69990 - 3.46

63271 - 60.42;

+69990 - 6.43 

27 Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic   63281 +69990 63281 - thoracic laminectomy (ies) and removal of intradural extramedullary tumor, e.g. meningioma; +69990 - use of microscope

63281 - 29.99; 

+69990 - 3.46

63281 - 61.34; 

+69990 - 6.43

28 Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic   63286 +69990 63286 - thoracic laminectomy (ies) and removal of intradural intramedullary tumor, e.g. glioma or astrocytoma, ependymoma;  +69990 - use of microscope

63286 - 37.62;

+69990 - 3.46

63286 - 75.22;

+69990 - 6.43

29 Thoracic laminectomy(ies), without facetectomies, foraminotomies, or discectomies, 1 or 2 levels   63003     63003 - 17.74 63003 - 36.18
30 Thoracic laminectomy with facetectomies, foraminotomies, or discectomies, 1 level   63045   Unilateral or bilateral 63045 - 17.95 63045 - 37.58
31 Thoracic laminectomy with facetectomies, foraminotomies, or discectomies, 2 levels   63045, +63048   Add +63048 for each additional level

63045 - 17.95

+63048 - 3.47

63045 - 37.58;

+63048 - 6.19

32 Thoracic laminectomies without facetectomies, foraminotomies, or discectomies, greater than 2 levels   63016     63016 - 22.03 63016 - 44.52
37 Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic   63055   Discectomy in the thoracic spine involving partial or total removal of pedicle. No instrumentation involved. 63055 - 23.55 63055 - 47.59
38 Reinsertion of spinal fixation device   22849   Only one code no matter how many levels; Removal and reinsertion of instrumentation, e.g. pedicle screws, plates, etc. e.g. pedicle screw revision. 22849 - 19.17 22849 - 37.75
39 Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach Thoracic corpectomy 63301   Use this code for any corpectomy for extradural pathology such as vertebral osteomyelitis 63301 - 31.57 63301 - 60.67
40 Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach   63305 Use this code for any corpectomy for intradural pathology such as tumor 63305 - any corpectomy for intradural pathology such as tumor 63305 - 36.24 63305 - 70.45
41 Posterior Thoracic Spine Osteotomy   22212; +22216   22212 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; +22216 is for additional levels of osteotomies

22212 - 20.99; 

+22216 - 6.03

22212 - 43.06; 

+22216 - 10.62

  Vertebral Corpectomy, partial or complete, Lateral Extracavitary approach with decompression; thoracic, single segment   63101     63101 - 34.10 63101 - 67.55
  Arthodesis, Lateral Extracavitary; Thoracic   22532     22532 - 25.99 22532 - 51.61
 

Arthodesis, Lateral Extracavitary; Thoracic or Lumbar, Each Additional Vertebral Segment

  22534     22534 - 5.99 22534 - 10.54
 

Vertebral corpectomy at least 1/3 of vertebra via trans- or retroperitoneal approach for decompression

  63090     63090 - 30.93 63090 - 56.83
 

Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)

  62272   Spinal Tap, Lumbar Drain Placement 62272 - 1.35 62272 - 2.43
 

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
  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 - 5.50 +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 - 5.50 +22859 - 9.89
 

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
 

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
 

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 or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed)   22610 +22614  

22610 - 17.28;

+22614 - 6.43

22610 - 36.70;

+22614 - 11.47

  Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy 63709   +69990 Repair of CSF Leak with Laminectomy. Cannot code with laminectomy codes. 63709 - 15.65;
+69990 - 3.46

63709 - 32.02;
+69990 - 6.43

  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

  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; thoracic   22513 +22515 +22515 - each additional vertebral body; Kphoplasty

22513 - 8.65;

+22515 - 4.00

22513 - 15.11;

+22515 - 6.54