2025 CPT code 22315
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and Dislocation Treatment Musculoskeletal System Feed
Closed treatment of vertebral fractures and/or dislocations, including casting or bracing, with manipulation or traction.
Modifiers 51 (multiple procedures), 59 (distinct procedural service), and 76 (repeat procedure) may be applicable depending on the circumstances.
Medical necessity is established by the presence of a closed vertebral fracture or dislocation requiring reduction and immobilization.The chosen method of immobilization must be appropriate for the specific fracture or dislocation.
The provider examines the patient, manipulates the fracture to achieve alignment (if necessary), and applies a cast or brace to stabilize the fracture. Imaging confirmation of alignment may be included.
In simple words: This code covers the non-surgical treatment of a broken or dislocated vertebra (bone in the spine). The doctor will realign the bone (if needed) and use a cast or brace to keep it stable during healing.
This CPT code encompasses the closed treatment of vertebral fractures and/or dislocations.The treatment involves manipulation or traction to achieve and maintain satisfactory alignment, followed by the application of a cast or brace for immobilization.The procedure does not involve surgical incision or direct visualization of the fracture site.
Example 1: A patient presents with a closed compression fracture of T12. The physician performs closed reduction and applies a thoracolumbosacral orthosis (TLSO)., A patient presents with a closed wedge fracture of L1. The physician applies skeletal traction using tongs and a halo device to reduce the fracture, followed by a body cast., A patient suffers a closed dislocation of C5-C6. After closed reduction by manipulation under fluoroscopy, the physician applies a cervical collar.
Detailed history and physical examination, imaging studies (X-rays) demonstrating the fracture/dislocation before and after reduction, documentation of the type of immobilization device used, and any anesthesia administered.
** This code does not include the separate reporting of supplies used (e.g., casting material).If a cast is removed by a provider other than the one who applied it, a separate cast removal code (29700, 29705, 29710) should be reported.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: Refer to CMS conversion factors and payer-specific reimbursement rates for RVU valuation.
- Global Days: The global period for this procedure varies depending on payer and specific circumstances; consult payer guidelines for details.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Refer to historical CPT fee schedules for relevant data.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital