2025 CPT code 22310
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Procedures on the Spine (Vertebral Column) Musculoskeletal System Feed
Closed treatment of vertebral body fracture(s) without manipulation, requiring casting or bracing.
Modifiers 51 and 54 may be appropriate.Modifier 62 is not applicable.
Medical necessity for 22310 is established by the presence of a vertebral body fracture that can be treated non-surgically with immobilization.Documentation must support the decision to use closed treatment, without manipulation, and the appropriateness of the chosen immobilization device.
The provider examines the patient, diagnoses the vertebral fracture, and applies a cast, brace, cervical collar, or other immobilization device to maintain the fracture in a stable position for healing.
In simple words: This code covers the non-surgical treatment of a broken bone in the spine.The doctor will use a cast or brace to keep the broken bone stable while it heals. The initial application and removal of the brace are included.
This CPT code encompasses the closed treatment of vertebral body fracture(s) without manipulation.The treatment involves immobilization using a cast or brace to stabilize the fracture and facilitate healing.The application and removal of the initial cast or brace are included in the code.Subsequent adjustments or replacements outside the global period may be billed separately.
Example 1: A patient presents with a compression fracture of the T12 vertebra after a fall.Closed reduction is not required. The physician applies a thoracolumbosacral orthosis (TLSO) brace for immobilization.Code 22310 is used., A patient sustains a burst fracture of the L1 vertebra in a motor vehicle accident.The physician performs closed treatment without manipulation, applying a rigid body cast. Code 22310 is used., An elderly patient experiences a wedge compression fracture of the T6 vertebra due to osteoporosis. The physician orders a lightweight custom-fit spinal orthosis (brace) for immobilization. Code 22310 is used.
* Detailed history and physical examination documenting the fracture.* Imaging studies (X-rays, CT scan) confirming the fracture and its location.* Documentation of the type of immobilization device used (cast, brace, collar, etc.) and its application.* Documentation that closed treatment without manipulation was performed.
** The code's description indicates that the application and removal of the initial immobilization device are inherent to the procedure. Subsequent adjustments, replacements, or removal by a different provider may be separately billable.
- Revenue Code: P3D (Major Procedure, Orthopedic - Other)
- RVU: The RVUs for this code will vary based on geographic location, the specific Medicare Administrative Contractor (MAC) processing the claim, and whether the service is provided in a facility or non-facility setting.
- Global Days: The global period for this procedure is not explicitly defined in the provided text.Refer to the specific payer's guidelines for details.
- Payment Status: Active
- Modifier TC rule: Not applicable
- Fee Schedule: Historical fee schedule information is not available from the provided sources.Consult your local Medicare Administrative Contractor (MAC) or other payer for historical fee data.
- Specialties:Orthopedic Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Emergency Room - Hospital, Urgent Care Facility