2025 CPT code 22110
(Active) Effective Date: N/A Revision Date: N/A Surgery - Spine Surgery Musculoskeletal System Feed
Partial excision of a cervical vertebral body for an intrinsic bony lesion, without spinal cord or nerve root decompression, single vertebral segment.
Modifier 62 (two surgeons) is applicable if two surgeons perform distinct portions of the procedure.Modifier 51 (multiple procedures) may be appended if this procedure is performed in conjunction with other procedures during the same session.
Medical necessity is established by clinical findings demonstrating a damaged or diseased portion of a cervical vertebra causing symptoms, and failure of conservative treatments. The lesion should be confined to the vertebral body, not compressing the spinal cord or nerve roots. Imaging should support the diagnosis.
The surgeon's responsibilities include prepping and anesthetizing the patient, making an incision, dissecting to the bone, removing the diseased bone, irrigating the wound, and closing the incision in layers.
- Musculoskeletal System
- Surgery > Surgical Procedures on the Musculoskeletal System > Spine Surgery
In simple words: The doctor removes a damaged or diseased part of a bone in the neck (cervical vertebra) without affecting the spinal cord or nerves.
This procedure involves the partial excision of a portion of the main body of a single cervical vertebra to remove a damaged or diseased area within that bone.The procedure does not include decompression of the spinal cord or nerve roots.The surgeon makes an incision over the target vertebra, dissects to the bone surface, removes the diseased portion of the vertebral body, irrigates, and closes the incision in layers.
Example 1: A 55-year-old patient presents with a cervical vertebral body lesion identified on imaging.The lesion is confined to the bone and does not compromise the spinal cord or nerve roots.The surgeon performs a partial excision of the affected vertebral body using code 22110., A 70-year-old patient experiences neck pain due to a benign bony lesion within a cervical vertebra.After non-surgical treatments fail, the surgeon performs a partial excision of the lesion using 22110, avoiding spinal cord or nerve root decompression., A 40-year-old patient has a compression fracture of a cervical vertebra resulting in a fragment of bone impinging on the spinal canal. The surgeon performs a partial excision (22110) to remove this bone fragment, taking care to avoid compromising the spinal cord or nerve roots.
Preoperative imaging (X-rays, CT, MRI) showing the lesion, operative report detailing the procedure performed, including the extent of bone removed, and postoperative imaging confirming the successful removal of the lesion.
** This code is for partial excision of the vertebral body and does not include decompression of the spinal cord or nerve roots.Other procedures may be necessary depending on the clinical scenario.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: Data not available in provided text.Consult the current CPT codebook or a reliable medical billing resource for RVU information.
- Global Days: Data not available in provided text. Consult the current CPT codebook or a reliable medical billing resource for global period information.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Data not available in provided text. Consult a reliable medical billing resource for historical fee schedule information.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office