2025 CPT code 22210
(Active) Effective Date: N/A Revision Date: N/A Surgery - Musculoskeletal System Feed
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical.
Modifiers may be applicable. Modifier 62 may be appended if two surgeons work together as primary surgeons performing distinct parts of the procedure. Modifier 51 should be used when this procedure is performed in conjunction with other procedures.
Medical necessity must be established by documenting the severity of the spinal deformity, the impact on the patient's function and quality of life, and the failure of conservative treatments. The documentation should also justify the surgical approach and the number of levels involved.
The surgeon is responsible for the entire procedure, from the initial incision to closing the incision. This includes careful manipulation of the spine to correct the curvature and protect the spinal cord and nerves.
In simple words: The doctor will make a cut in your neck to reach your spine. They will remove a small piece of bone from one of your vertebrae (bones in your neck). This will help straighten your neck if it has an abnormal curve.
This procedure involves cutting into a vertebra (one of the bones in the spine) to remove a wedge of bone and realign the spinal column. It is done to correct abnormal curvatures in the cervical spine (neck).The surgeon makes an incision, exposes the affected vertebra, removes parts of it, and then manipulates the spine into the corrected position.
Example 1: A patient with a cervical kyphosis (forward curvature of the neck) undergoes a posterior osteotomy to correct the deformity., A patient with a cervical scoliosis (sideways curvature of the neck) undergoes a posterolateral osteotomy to straighten the spine., A patient with ankylosing spondylitis (a type of arthritis that affects the spine) undergoes a posterior osteotomy to improve neck posture and range of motion.
Documentation should include the diagnosis, operative report with details of the procedure, including the approach (posterior or posterolateral), number of vertebral segments involved, type of osteotomy performed, and any instrumentation used. Pre- and post-operative imaging studies should also be documented.
** For bone grafts and instrumentation used in conjunction with this procedure, see codes 20930-20938 and 22840-22855, 22859 respectively. These codes are reported separately in addition to the primary procedure code.
- Payment Status: Active
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center