2025 CPT code 22600
Effective Date: N/A Revision Date: N/A Surgery - Musculoskeletal System Feed
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment.
Modifiers may be applicable. Refer to current CPT guidelines.
Medical necessity must be established through documentation of the patient's condition, failed conservative treatments, and the expected clinical benefit of the procedure.
The physician prepares the surgical site, exposes the vertebrae, performs decortication, applies bone graft material, and may implant instrumentation for stabilization. They also close the surgical incision and provide post-operative care.
In simple words: This is a surgery to permanently join two bones in your neck, below a specific point called C2. The surgeon goes in through your back, prepares the bones, adds bone graft material (like a bone "glue"), and may use metal hardware to hold things in place while the bones fuse together.
This procedure involves the surgical fusion of two vertebrae in the cervical spine (neck) below the C2 level, using a posterior or posterolateral approach. It includes preparation of the bony surfaces, application of bone graft, and may involve the use of instrumentation (reported separately). The procedure aims to stabilize the spine and alleviate pain caused by conditions such as degenerative disc disease or spinal instability.
Example 1: A patient with degenerative disc disease at C5-C6 causing chronic neck pain undergoes posterior cervical fusion using bone graft at the C5-C6 level., A patient with a cervical fracture at C3-C4 requires stabilization. Posterior arthrodesis is performed at the affected level., A patient with cervical spondylolisthesis (slipping of a vertebra) undergoes a posterior fusion at C4-C5 to stabilize the spine.
Documentation should include operative report detailing the surgical approach, levels fused, type of bone graft used, any instrumentation placed, and any complications encountered. Pre-operative imaging and documentation of medical necessity are also required.
** Please note that this information is current as of December 10, 2024, and may be subject to change with updates to coding guidelines and regulations. Always refer to the most current CPT manual and payer guidelines for the most accurate information.
- RVU: Check current fee schedules for RVU values.
- Global Days: Global days vary; check current guidelines.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center