sjh procedures - spine and neurosurgery services · application cervical traction w gardner wells...

SJH Procedures - Spine and Neurosurgery Services

New Name Old Name CPT Code Service

ANTERIOR CERVICAL DISC ARTHROPLASTY Spine

APPLICATION, TRACTION, SPINE, CERVICAL, USING GARDNER-WELLS TONGS

APPLICATION CERVICAL TRACTION W GARDNER WELLS TONGS 20660 Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)

Spine, Neurosurgery

BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY(MASS/LESION/LIPOMA/CYST) FACE/NECK W CO2 LASER 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Aesthetics, Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular

11104 Punch biopsy of skin (including simple closure, when performed); single lesion


11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion


17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion


BIOPSY OR EXCISION, LESION, LOWER BODY EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) LOWER BODY General, Gynecology, Orthopedics, Plastics, Urology, Neurosurgery, Aesthetics, Colorectal, Spine, Vascular, Podiatry

BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Gynecology, Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular

11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (list separately in addition to code for primary procedure)




of 22 * Indicates Inpatient only CPT Code/Procedure



BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11105 Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)




11107 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (list separately in addition to code for primary procedure)


BIOPSY OR EXCISION, LESION, UPPER BODY, USING CO2 LASER EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) UPPER BODY W CO2 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

General, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics





17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion


BONE GRAFT, ILIAC CREST GRAFT BONE ILIAC 20900 Bone graft, any donor area; minor or small (eg, dowel or button)

Orthopedics, Spine

20902 Bone graft, any donor area; major or large Orthopedics, Spine

*20956 Bone graft with microvascular anastomosis; iliac crest Orthopedics, Spine

COCCYGECTOMY COCCYGECTOMY 15920 Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture

Spine, Orthopedics

15922 Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure

Spine, Orthopedics

27080 Coccygectomy, primary Spine, Orthopedics

CORPECTOMY, SPINE, CERVICAL, MINIMALLY INVASIVE, 1 LEVEL, ANTERIOR APPROACH, USING MICROSCOPE, WITH FUSION

ANTERIOR MICROCERVICAL CORPECTOMY FUSION PLATING 1 *22548 Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process

Spine




CORPECTOMY, SPINE, CERVICAL, MINIMALLY INVASIVE, 1 LEVEL, ANTERIOR APPROACH, USING MICROSCOPE, WITH FUSION

ANTERIOR MICROCERVICAL CORPECTOMY FUSION PLATING 1 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

Spine

22845 Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)

Spine

*63081 Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment

Spine

CORPECTOMY, SPINE, CERVICAL, MINIMALLY INVASIVE, 2 OR MORE LEVELS, ANTERIOR APPROACH, USING MICROSCOPE, WITH FUSION

ANTERIOR MICROCERVICAL CORPECTOMY FUSION PLATING 2+ *22548 Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process

Spine

22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

Spine

22552 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (list separately in addition to code for primary procedure)

Spine


Spine

*63081 Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment

Spine

*63082 Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in addition to code for primary procedure)

Spine

CRANIECTOMY, POSTERIOR CRANIAL FOSSA CRANIECTOMY POSTERIOR *61522 Craniectomy, infratentorial or posterior fossa; for excision of brain abscess

Neurosurgery

*61524 Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst

Neurosurgery

CRANIOPLASTY CRANIOPLASTY *62120 Repair of encephalocele, skull vault, including cranioplasty Neurosurgery

*62140 Cranioplasty for skull defect; up to 5 cm diameter Neurosurgery

*62141 Cranioplasty for skull defect; larger than 5 cm diameter Neurosurgery

*62145 Cranioplasty for skull defect with reparative brain surgery Neurosurgery

*62146 Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter

Neurosurgery

*62147 Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter

Neurosurgery

*62148 Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure)

Neurosurgery

CRANIOTOMY POSTERIOR FOSSA TUMOR W NEURO NAVIGATOR Neurosurgery

CRANIOTOMY RIGHT FRONTAL BURR HOLE OMMAYA RESERVOIR Neurosurgery




CRANIOTOMY, DECOMPRESSIVE, FOR CHIARI MALFORMATION DECOMPRESSION CHIARI *61343 Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation)

Neurosurgery

CRANIOTOMY, FOR SUBDURAL HEMATOMA EVACUATION CRANIOTOMY EVACUATION SUBDURAL HEMATOMA *61312 Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural

Neurosurgery

*61314 Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural

Neurosurgery

CRANIOTOMY, INFRATENTORIAL CRANIOTOMY INFRATENTORIAL *61305 Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)

Neurosurgery

*61314 Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural

Neurosurgery

*61315 Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar

Neurosurgery

*61321 Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial

Neurosurgery

CRANIOTOMY, POSTERIOR CRANIAL FOSSA CRANIOTOMY POSTERIOR FOSSA *61305 Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)

Neurosurgery

*61345 Other cranial decompression, posterior fossa Neurosurgery

*61518 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull

Neurosurgery

*61519 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma

Neurosurgery

*61520 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor

Neurosurgery

*61521 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull

Neurosurgery

*61522 Craniectomy, infratentorial or posterior fossa; for excision of brain abscess

Neurosurgery

*61524 Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst

Neurosurgery

*61530 Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy

Neurosurgery

CRANIOTOMY, SUPRATENTORIAL CRANIOTOMY SUPRATENTORIAL W NEURONAVIGATOR *61304 Craniectomy or craniotomy, exploratory; supratentorial Neurosurgery

*61312 Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural

Neurosurgery

*61313 Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral

Neurosurgery

*61320 Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial

Neurosurgery

*61514 Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial

Neurosurgery

61781 Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure)

Neurosurgery




CRANIOTOMY, SUPRATENTORIAL CRANIOTOMY SUPRATENTORIAL W NEURONAVIGATOR 61782 Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)

Neurosurgery

CRANIOTOMY, WITH NEOPLASM EXCISION CRANIOTOMY TUMOR EXCISION W CUSA *61500 Craniectomy; with excision of tumor or other bone lesion of skull

Neurosurgery

*61510 Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma

Neurosurgery

*61512 Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial

Neurosurgery

*61518 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull

Neurosurgery

*61519 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma

Neurosurgery

*61520 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor

Neurosurgery

*61521 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull

Neurosurgery

CRANIOTOMY, WITH SKULL LESION EXCISION AND CRANIOPLASTY WITH NEURONAVIGATION

CRANIOTOMY EXCISE SKULL LESION NEURO NAVIGATOR CRANIOPLASTY *61500 Craniectomy; with excision of tumor or other bone lesion of skull

Neurosurgery

61782 Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)

Neurosurgery

*62140 Cranioplasty for skull defect; up to 5 cm diameter Neurosurgery

*62141 Cranioplasty for skull defect; larger than 5 cm diameter Neurosurgery

*62146 Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter

Neurosurgery

*62147 Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter

Neurosurgery

CREATION, CRANIAL BURR HOLE, WITH SUBSEQUENT ASPIRATION OF INTRACRANIAL ABSCESS

BURR HOLE W ASPIRATION OF ABSCESS *61151 Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst

Neurosurgery

CREATION, CRANIAL BURR HOLE, WITH VENTRICULOSTOMY BURR HOLE W VENTRICULOSTOMY *62180 Ventriculocisternostomy (Torkildsen type operation) Neurosurgery

*62200 Ventriculocisternostomy, third ventricle; Neurosurgery

*62201 Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method

Neurosurgery

DEBRIDEMENT, WOUND DEBRIDEMENT WOUND 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

Plastics, Orthopedics, General, Gynecology, Podiatry, Pacemakers, Vascular, Colorectal, Neurosurgery, Thoracic, Cardiac/Open Heart, Urology

11043 Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less





DEBRIDEMENT, WOUND DEBRIDEMENT WOUND 11044 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less


11045 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)


11046 Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)


11047 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)


97597 Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound




97602 Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per sess


DISCECTOMY, SPINE, THORACOLUMBAR, 1 LEVEL LUMBAR/THORACIC DISCECTOMY LEVEL 1 0274T Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), singl

Spine




DISCECTOMY, SPINE, THORACOLUMBAR, 1 LEVEL LUMBAR/THORACIC DISCECTOMY LEVEL 1 0275T Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), singl

Spine

*63077 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace

Spine

DISCECTOMY, SPINE, THORACOLUMBAR, 2 OR MORE LEVELS LUMBAR/THORACIC DISCECTOMY LEVEL 2+ 0274T Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), singl

Spine

0275T Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), singl

Spine

*63077 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace

Spine

*63078 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure)

Spine

EVACUATION, HEMATOMA EVACUATION OF HEMATOMA Gynecology, Gynecology Oncology, General, Bariatric, Spine, Neurosurgery, Plastics, Cardiac/Open Heart, Thoracic, General Robotics, Gynecology Robotics, Urology, Urology Robotics, Vascular

EVACUATION, HEMATOMA, AFTER ANTERIOR CERVICAL SPINE SURGERY EVACUATION OF HEMATOMA STATUS POST ANTERIOR CERVICAL SURGERY 10140 Incision and drainage of hematoma, seroma or fluid collection Spine

10160 Puncture aspiration of abscess, hematoma, bulla, or cyst Spine

21501 Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;

Spine

EVACUATION, HEMATOMA, AFTER LUMBAR SPINE SURGICAL PROCEDURE EVACUATION OF HEMATOMA STATUS POST LUMBAR SURGERY 10140 Incision and drainage of hematoma, seroma or fluid collection Spine

10160 Puncture aspiration of abscess, hematoma, bulla, or cyst Spine

EVACUATION, HEMATOMA, AFTER POSTERIOR CERVICAL SPINE SURGERY EVACUATION OF HEMATOMA STATUS POST POSTERIOR CERVICAL SURGERY

10140 Incision and drainage of hematoma, seroma or fluid collection Spine

*22010 Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic

Spine

EVACUATION, HEMATOMA, LOWER EXTREMITY EVACUATION OF HEMATOMA LOWER EXTREMITY 27301 Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region

Orthopedics, Neurosurgery, Plastics

27603 Incision and drainage, leg or ankle; deep abscess or hematoma Orthopedics, Neurosurgery, Plastics

EVACUATION, HEMATOMA, UPPER EXTREMITY EVACUATION OF HEMATOMA UPPER EXTREMITY 23030 Incision and drainage, shoulder area; deep abscess or hematoma

Orthopedics, Plastics, Neurosurgery




EVACUATION, HEMATOMA, UPPER EXTREMITY EVACUATION OF HEMATOMA UPPER EXTREMITY 23930 Incision and drainage, upper arm or elbow area; deep abscess or hematoma


25028 Incision and drainage, forearm and/or wrist; deep abscess or hematoma


EXCISION, NEOPLASM, PITUITARY, ENDOSCOPIC, TRANSSPHENOIDAL APPROACH

ENDO TRANSPHENOIDAL RESECTION PITUITARY TUMOR *62165 Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach

Neurosurgery

EXPLORATION AND REPAIR, CEREBROSPINAL FLUID (CSF) LEAK, AFTER CERVICAL SPINE PROCEDURE BY ANTERIOR APPROACH

EXPLORE+REPAIR SPINAL FLUID LEAK STATUS POST ANTERIOR CERVICAL SURGERY

*63707 Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Spine

*63709 Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy

Spine

EXPLORATION AND REPAIR, CEREBROSPINAL FLUID (CSF) LEAK, AFTER CERVICAL SPINE PROCEDURE BY POSTERIOR APPROACH

EXPLORE+REPAIR SPINAL FLUID LEAK STATUS POST POSTERIOR CERVICAL SURGERY

*63707 Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Spine


Spine

EXPLORATION AND REPAIR, CEREBROSPINAL FLUID (CSF) LEAK, AFTER LUMBAR SPINE PROCEDURE BY POSTERIOR APPROACH

EXPLORE+REPAIR SPINAL FLUID LEAK STATUS POST LUMBAR SURGERY *63707 Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Spine


Spine

EXPLORATION, NERVE, PERONEAL EXPLORATION PERONEAL NERVE (LEG) 64708 Neuroplasty, major peripheral nerve, arm or leg, open; other than specified

Neurosurgery

FIXATION, SPINE, PERCUTANEOUS, USING PEDICLE SCREWS "PERCUTANEOUS PEDICLE SCREW FIXATION W 9" (SMALL) C ARM" 22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary proced

Spine

FUSION, SACROILIAC JOINT, PERCUTANEOUS, WITH FIXATION SACROILIAC JOINT PERCUTANEOUS FUSION WITH FIXATION 27279 Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device

Spine

FUSION, SPINE, LUMBAR, ANTERIOR LUMBAR INTERBODY FUSION (ALIF) LUMBAR ANTERIOR INTERBODY FUSION WITH JACKSON TABLE NEURO MONITORING

*22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine

95940 Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (list separately in addition to code for primary procedure)

Spine

95941 Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (list separately in addition to code for primary procedure)

Spine

FUSION, SPINE, LUMBAR, ANTERIOR LUMBAR INTERNAL FUSION (ALIF) Spine, Neurosurgery

FUSION, SPINE, LUMBAR, INTERBODY, LATERAL APPROACH LUMBAR DIRECT LATERAL INTERBODY FUSION *22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine




FUSION, SPINE, LUMBAR, INTERBODY, LATERAL APPROACH LUMBAR DIRECT LATERAL INTERBODY FUSION 22585 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)

Spine

FUSION, SPINE, LUMBAR, INTERBODY, OBLIQUE APPROACH LUMBAR OBLIQUE ANTERIOR INTERBODY FUSION *22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine

22585 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)

Spine

INSERTION PERCUTANEOUS PEDICLE SCREW, POSTERIOR COLUMN, SCHEDULED WITH FUSION, SPINE, LUMBAR, ANTERIOR LATERAL OR OBLIQUE APPROACH

PERCUTANEOUS PEDICLE SCREWS SCHEDULED W DLIF *22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine

22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary proced

Spine

INSERTION, ELECTRODE LEAD, SPINAL CORD STIMULATOR, PERCUTANEOUS, FOR TRIAL

PERCUTANEOUS SPINAL CORD STIMULATION STIMULATOR LEAD INSERTION - TRIAL

63650 Percutaneous implantation of neurostimulator electrode array, epidural

Spine

INSERTION, PEDICLE SCREWS, PERCUTANEOUS Spine, Neurosurgery

INSERTION, SHUNT, VENTRICULOPERITONEAL INSERTION VENTRICULAR PERITONEAL SHUNT (MEDTRONIC) *62223 Creation of shunt; ventriculo-peritoneal, -pleural, other terminus

Neurosurgery

*62223 Creation of shunt; ventriculo-peritoneal, -pleural, other terminus

Neurosurgery

INSERTION, SHUNT, VENTRICULOPERITONEAL, LAPAROSCOPIC INSERT VENTRICULAR PERITONEAL SHUNT LAPAROSCOPY (MEDTRONIC) 62160 Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure)

Neurosurgery

*62223 Creation of shunt; ventriculo-peritoneal, -pleural, other terminus

Neurosurgery

INSTRUMENTATION, LUMBAR, POSTERIOR COLUMN, SCHEDULED WITH FUSION, SPINE, LUMBAR, ANTERIOR LATERAL OR OBLIQUE APPROACH

LUMBAR POSTERIOR FUSION SCHEDULED WITH ALIF *22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine


Spine


Spine

22842 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

Spine




INSTRUMENTATION, LUMBAR, POSTERIOR COLUMN, SCHEDULED WITH FUSION, SPINE, LUMBAR, ANTERIOR LATERAL OR OBLIQUE APPROACH

LUMBAR POSTERIOR FUSION SCHEDULED WITH ALIF *22843 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure)

Spine

*22844 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure)

Spine

INSTRUMENTATION, LUMBAR, POSTERIOR COLUMN, SCHEDULED WITH FUSION, SPINE, LUMBAR, DIRECT LATERAL APPROACH

LUMBAR POSTERIOR FUSION SCHEDULED WITH DLIF *22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine


Spine


Spine

22842 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

Spine

IRRIGATION AND DEBRIDEMENT, FOOT Orthopedics, Neurosurgery, Podiatry

IRRIGATION AND DEBRIDEMENT, HAND IRRIGATION AND DEBRIDEMENT OF HAND/FINGER 11000 Debridement of extensive eczematous or infected skin; up to 10% of body surface

Orthopedics, Neurosurgery

11001 Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (list separately in addition to code for primary procedure)


11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less




11044 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less









IRRIGATION AND DEBRIDEMENT, HAND IRRIGATION AND DEBRIDEMENT OF HAND/FINGER 11047 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)


IRRIGATION AND DEBRIDEMENT, LOWER EXTREMITY IRRIGATION AND DEBRIDEMENT OF LEG 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less












IRRIGATION AND DEBRIDEMENT, PREVIOUS POSTERIOR LUMBAR SPINE PROCEDURE SITE

IRRIGATION AND DEBRIDEMENT STATUS POST LUMBAR SURGERY 11000 Debridement of extensive eczematous or infected skin; up to 10% of body surface

Spine


Spine


Spine


Spine


Spine


Spine


Spine


Spine




IRRIGATION AND DEBRIDEMENT, PREVIOUS POSTERIOR LUMBAR SPINE PROCEDURE SITE

IRRIGATION AND DEBRIDEMENT STATUS POST LUMBAR SURGERY 97597 Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound

Spine


Spine


Spine

IRRIGATION AND DEBRIDEMENT, TOE Orthopedics, Neurosurgery, Podiatry

IRRIGATION AND DEBRIDEMENT, UPPER EXTREMITY IRRIGATION AND DEBRIDEMENT OF ARM 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less












29822 Arthroscopy, shoulder, surgical; debridement, limited Orthopedics, Neurosurgery

29823 Arthroscopy, shoulder, surgical; debridement, extensive Orthopedics, Neurosurgery

29837 Arthroscopy, elbow, surgical; debridement, limited Orthopedics, Neurosurgery

29838 Arthroscopy, elbow, surgical; debridement, extensive Orthopedics, Neurosurgery

IRRIGATION AND DEBRIDEMENT, WOUND, AFTER CERVICAL SPINE PROCEDURE BY ANTERIOR APPROACH

IRRIGATION AND DEBRIDEMENT STATUS POST ANTERIOR CERVICAL SURGERY

11000 Debridement of extensive eczematous or infected skin; up to 10% of body surface

Spine


Spine


Spine




IRRIGATION AND DEBRIDEMENT, WOUND, AFTER CERVICAL SPINE PROCEDURE BY ANTERIOR APPROACH

IRRIGATION AND DEBRIDEMENT STATUS POST ANTERIOR CERVICAL SURGERY


Spine


Spine


Spine


Spine


Spine


Spine


Spine


Spine

IRRIGATION AND DEBRIDEMENT, WOUND, AFTER CERVICAL SPINE PROCEDURE BY POSTERIOR APPROACH

IRRIGATION AND DEBRIDEMENT STATUS POST POSTERIOR CERVICAL SURGERY


Spine


Spine


Spine


Spine


Spine




IRRIGATION AND DEBRIDEMENT, WOUND, AFTER CERVICAL SPINE PROCEDURE BY POSTERIOR APPROACH

IRRIGATION AND DEBRIDEMENT STATUS POST POSTERIOR CERVICAL SURGERY


Spine


Spine


Spine


Spine

KYPHOPLASTY KYPHOPLASTY 22513 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

Spine

22514 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

Spine

22515 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

Spine

LAMINECTOMY, DECOMPRESSIVE, SPINE, 1 LEVEL, WITH DISCECTOMY AND FUSION USING BONE GRAFT, WITH BONE MARROW ASPIRATION

DISCECTOMY DECOMPRESSIVE LAMINECTOMY FUSION WITH BONEGRAFT+ ASPIRATION 1

20939 Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (list separately in addition to code for primary procedure)

Spine

*22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

Spine

*22610 Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed)

Spine

22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)

Spine

LAMINECTOMY, DECOMPRESSIVE, SPINE, 2 LEVELS, WITH DISCECTOMY AND FUSION USING BONE GRAFT, WITH BONE MARROW ASPIRATION



Spine


Spine







Spine


Spine

22614 Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (List separately in addition to code for primary procedure)

Spine




Spine


Spine


Spine


Spine


Spine

LAMINECTOMY, DECOMPRESSIVE, SPINE, THORACOLUMBAR, 1 LEVEL, WITH DISCECTOMY

LUMBAR/THORACIC DISCECTOMY DECOMPRESSIVE LAMINECTOMY LEVEL 1

63046 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; thoracic

Spine

63047 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

Spine

LAMINECTOMY, DECOMPRESSIVE, SPINE, THORACOLUMBAR, 2 LEVELS, WITH DISCECTOMY

LUMBAR/THORACIC DISCECTOMY DECOMPRESSIVE LAMINECTOMY LEVEL 2


Spine


Spine

63048 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 lu

Spine

LAMINECTOMY, DECOMPRESSIVE, SPINE, THORACOLUMBAR, 3 OR MORE LEVELS, WITH DISCECTOMY

LUMBAR/THORACIC DISCECTOMY DECOMPRESSIVE LAMINECTOMY LEVEL 3+


Spine


Spine




LAMINECTOMY, DECOMPRESSIVE, SPINE, THORACOLUMBAR, 3 OR MORE LEVELS, WITH DISCECTOMY

LUMBAR/THORACIC DISCECTOMY DECOMPRESSIVE LAMINECTOMY LEVEL 3+

63048 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 lu

Spine

LAMINECTOMY, FUSION, POSTERIOR COLUMN, SCHEDULED WITH FUSION AND DISCECTOMY, SPINE, ANTERIOR CERVICAL

POSTERIOR LAMINECTOMY FUSION SCHEDULED WITH ACDF 22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2

Spine


Spine

LAMINECTOMY, SPINE, 1 LEVEL, WITH DECOMPRESSION AND FUSION DECOMPRESSIVE LAMINECTOMY FUSION 1 *22590 Arthrodesis, posterior technique, craniocervical (occiput-C2) Spine

*22595 Arthrodesis, posterior technique, atlas-axis (C1-C2) Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, 1 LEVEL, WITH POSTERIOR COLUMN FUSION POSTERIOR LAMINECTOMY FUSION 1 *22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

Spine


Spine


Spine

LAMINECTOMY, SPINE, 2 LEVELS, WITH DECOMPRESSION AND FUSION DECOMPRESSIVE LAMINECTOMY FUSION 2 *22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, 2 LEVELS, WITH POSTERIOR COLUMN FUSION POSTERIOR LAMINECTOMY FUSION 2 *22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, 3 LEVELS, WITH DECOMPRESSION AND FUSION DECOMPRESSIVE LAMINECTOMY FUSION 3 *22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

Spine


Spine




LAMINECTOMY, SPINE, 3 LEVELS, WITH DECOMPRESSION AND FUSION DECOMPRESSIVE LAMINECTOMY FUSION 3 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)

Spine


Spine

LAMINECTOMY, SPINE, 3 LEVELS, WITH POSTERIOR COLUMN FUSION POSTERIOR LAMINECTOMY FUSION 3 *22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, 4 LEVELS, WITH DECOMPRESSION AND FUSION DECOMPRESSIVE LAMINECTOMY FUSION 4 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

Spine


Spine


Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, THORACOLUMBAR, 1 LEVEL LUMBAR/THORACIC LAMINECTOMY LEVEL 1 63003 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; thoracic

Spine

63005 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

Spine


Spine


Spine




LAMINECTOMY, SPINE, THORACOLUMBAR, 1 LEVEL, WITH DECOMPRESSION

LUMBAR/THORACIC DECOMPRESSIVE LAMINECTOMY LEVEL1 63003 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; thoracic

Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, THORACOLUMBAR, 2 LEVELS, WITH DECOMPRESSION

LUMBAR/THORACIC DECOMPRESSIVE LAMINECTOMY LEVEL2 63003 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; thoracic

Spine


Spine


Spine


Spine

LAMINECTOMY, SPINE, THORACOLUMBAR, 2 OR MORE LEVELS LUMBAR/THORACIC LAMINECTOMY LEVEL 2+ 63016 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; thoracic

Spine

63017 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

Spine

LAMINECTOMY, SPINE, THORACOLUMBAR, 3 OR MORE LEVELS, WITH DECOMPRESSION

LUMBAR/THORACIC DECOMPRESSIVE LAMINECTOMY LEVEL3+ 63016 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; thoracic

Spine

63017 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

Spine




LAMINECTOMY, SPINE, THORACOLUMBAR, 3 OR MORE LEVELS, WITH DECOMPRESSION

LUMBAR/THORACIC DECOMPRESSIVE LAMINECTOMY LEVEL3+ 63046 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; thoracic

Spine


Spine

LAMINOPLASTY, SPINE, CERVICAL Spine

LUMBAR OBLIQUE INTERBODY FUSION W GENERAL ASSIST Spine

LUMBAR OBLIQUE INTERBODY FUSION W VASCULAR ASSIST Spine

MICRODISCECTOMY, SPINE, CERVICAL, 1 LEVEL, ANTERIOR APPROACH, WITH FUSION

ANTERIOR MICROCERVICAL DISCECTOMY FUSION PLATING LEVEL 1 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

Spine

22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2

Spine


Spine

MICRODISCECTOMY, SPINE, CERVICAL, 1 LEVEL, ANTERIOR APPROACH, WITH FUSION USING ILIAC BONE GRAFT

ANTERIOR MICROCERVICAL DISCECTOMY FUSION WITH ILIAC BONE GRAFT 1

20936 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)

Spine

20937 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)

Spine

20938 Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)

Spine


Spine


Spine

MICRODISCECTOMY, SPINE, CERVICAL, 2 LEVELS, ANTERIOR APPROACH, WITH FUSION

ANTERIOR MICROCERVICAL DISCECTOMY FUSION PLATING LEVEL2 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

Spine


Spine




MICRODISCECTOMY, SPINE, CERVICAL, 2 LEVELS, ANTERIOR APPROACH, WITH FUSION

ANTERIOR MICROCERVICAL DISCECTOMY FUSION PLATING LEVEL2 22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2

Spine


Spine


Spine

MICRODISCECTOMY, SPINE, CERVICAL, 2 LEVELS, ANTERIOR APPROACH, WITH FUSION USING ILIAC BONE GRAFT



Spine


Spine


Spine


Spine


Spine


Spine


Spine




Spine


Spine


Spine







Spine


Spine


Spine


Spine

MICRODISCECTOMY, SPINE, CERVICAL, 3 OR MORE LEVELS, ANTERIOR APPROACH, WITH FUSION

ANTERIOR MICROCERVICAL DISCECTOMY FUSION PLATING LEVEL 3+ 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

Spine


Spine


Spine


Spine


Spine

RELEASE, CARPAL TUNNEL RELEASE CARPAL TUNNEL 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel


RELEASE, CARPAL TUNNEL AND TRIGGER FINGER RELEASE CARPAL TUNNEL & TRIGGER FINGER 26055 Tendon sheath incision (eg, for trigger finger) Orthopedics, Neurosurgery

29848 Endoscopy, wrist, surgical, with release of transverse carpal ligament


64721 Neuroplasty and/or transposition; median nerve at carpal tunnel


RELEASE, CARPAL TUNNEL, BILATERAL RELEASE CARPAL TUNNEL BILATERAL 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel


RELEASE, CARPAL TUNNEL, WITH ULNAR NERVE TRANSPOSITION RELEASE CARPAL TUNNEL & TRANSPOSITION ULNA NERVE 29848 Endoscopy, wrist, surgical, with release of transverse carpal ligament


64718 Neuroplasty and/or transposition; ulnar nerve at elbow Orthopedics, Neurosurgery, Plastics




RELEASE, CARPAL TUNNEL, WITH ULNAR NERVE TRANSPOSITION RELEASE CARPAL TUNNEL & TRANSPOSITION ULNA NERVE 64719 Neuroplasty and/or transposition; ulnar nerve at wrist Orthopedics, Neurosurgery, Plastics

64721 Neuroplasty and/or transposition; median nerve at carpal tunnel


RELEASE, CUBITAL TUNNEL RELEASE CUBITAL TUNNEL (ELBOW) 64718 Neuroplasty and/or transposition; ulnar nerve at elbow Orthopedics, Neurosurgery

REMOVAL HARDWARE, SPINE, POSTERIOR COLUMN, SCHEDULED WITH FUSION, SPINE, LUMBAR, ANTERIOR LATERAL OR OBLIQUE APPROACH

REMOVAL HARDWARE W ALIF *22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Spine


Spine

*22830 Exploration of spinal fusion Spine

REMOVAL, FOREIGN BODY, LUMBAR REGION REMOVAL FOREIGN BODY LUMBAR REGION 10120 Incision and removal of foreign body, subcutaneous tissues; simple

Spine

10121 Incision and removal of foreign body, subcutaneous tissues; complicated

Spine

20520 Removal of foreign body in muscle or tendon sheath; simple Spine

20525 Removal of foreign body in muscle or tendon sheath; deep or complicated

Spine

REMOVAL, FOREIGN BODY, POSTERIOR NECK REMOVAL FOREIGN BODY POSTERIOR CERVICAL REGION 10120 Incision and removal of foreign body, subcutaneous tissues; simple

Spine

10121 Incision and removal of foreign body, subcutaneous tissues; complicated

Spine

REMOVAL, HARDWARE, SPINE, LUMBAR, POSTERIOR LUMBAR POSTERIOR REMOVAL HARDWARE SCHEDULED W ADDITIONAL PROCEDURE

*22850 Removal of posterior nonsegmental instrumentation (eg, Harrington rod)

Spine

*22852 Removal of posterior segmental instrumentation Spine

REVISION OR REMOVAL, SHUNT, VENTRICULOPERITONEAL REMOVAL/REVISION VENTRICULAR PERITONEAL SHUNT 62230 Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system

Neurosurgery

*62256 Removal of complete cerebrospinal fluid shunt system; without replacement

Neurosurgery


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