2025 CPT code 22112
(Active) Effective Date: N/A Revision Date: N/A Surgery - Excision Procedures on the Spine (Vertebral Column) Musculoskeletal System Feed
Partial excision of a thoracic vertebral body for an intrinsic bony lesion, without spinal cord or nerve root decompression.
Modifiers 51 (multiple procedures), 62 (two surgeons), and 76 (repeat procedure) may be applicable depending on the specific circumstances of the case. Consult the most current CPT manual and payer-specific guidelines for proper modifier usage.
Medical necessity for this procedure is established when a patient presents with a symptomatic intrinsic bony lesion of the thoracic vertebra that causes significant pain or instability, and where the lesion is amenable to partial excision without compromising spinal cord or nerve root integrity.
The surgeon's responsibilities include preparing the patient, making an incision, dissecting to the vertebra, removing the diseased bone, irrigating the wound, and closing the incision.Preoperative and postoperative care may be coded separately, depending on the extent of services rendered.
- Musculoskeletal System
- Surgical Procedures on the Musculoskeletal System > Surgical Procedures on the Spine (Vertebral Column) > Excision Procedures on the Spine (Vertebral Column)
In simple words: The doctor removes a part of a bone in the upper back (thoracic vertebra) to treat a problem within the bone itself.This doesn't involve relieving pressure on the spinal cord or nerves.
This CPT code, 22112, represents the surgical procedure of partially excising (removing a portion of) a single thoracic vertebral body.The excision is performed to address an intrinsic bony lesion (a damaged or diseased area within the bone itself).This procedure specifically excludes any decompression of the spinal cord or nerve roots. The surgical approach involves an incision over the affected vertebra, dissection to the bone surface, muscle stripping, excision of the diseased bone portion, wound irrigation, and layered closure.
Example 1: A 55-year-old patient presents with a benign tumor within a thoracic vertebra causing localized pain.A partial excision of the vertebral body is performed to remove the tumor. , A 60-year-old patient with osteoporosis experiences a compression fracture of a thoracic vertebra. A partial vertebrectomy is performed to remove unstable bone fragments, stabilizing the vertebra. , A 70-year-old patient presents with a metastatic lesion in a thoracic vertebra. Partial vertebrectomy is performed to debulk the lesion and alleviate pain, but full decompression is not necessary.
* Preoperative imaging (X-rays, CT scans, MRI) showing the location and extent of the lesion.* Operative report detailing the surgical approach, the extent of bone removed, and any complications.* Postoperative imaging to assess the surgical outcome.* Pathology report confirming the nature of the excised tissue.
** Always refer to the most recent CPT coding manual and payer-specific guidelines for complete and up-to-date information on coding and reimbursement.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: This information is not available in the provided text.Refer to the most up-to-date Relative Value Units (RVUs) database for current values.
- Global Days: This information is not available in the provided text.The global period for this procedure will vary depending on payer and other factors. Consult payer guidelines and relevant coding manuals.
- Payment Status: Active
- Modifier TC rule: The information on whether a Technical Component (TC) modifier applies is not available in the provided text. Refer to the most up-to-date coding guidelines.
- Fee Schedule: This information is not available in the provided text.Consult relevant fee schedules and databases for historical data.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center