2025 CPT code 22800
(Active) Effective Date: N/A Revision Date: N/A Surgery - Spine (Vertebral Column) Musculoskeletal System Feed
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments.
Modifiers may be applicable, including 62 (two surgeons), 51 (multiple procedures), and others depending on the specific circumstances.Check specific payer guidelines.
Spinal deformity causing significant pain, neurological symptoms, or functional limitations that have not responded to conservative treatment. The documentation should support the severity of the deformity and the need for surgical intervention.
The surgeon makes a midline incision over the affected vertebrae, dissects the muscles and fascia, removes soft tissue and cartilage from the facet joints, prepares the bony surfaces, applies bone grafting material, and closes the incision. A cast or other immobilization device may be applied.
In simple words: The doctor performs a spinal fusion from the back to correct a curvature of the spine. This involves joining together up to six bones in your back to straighten it. A cast might be put on afterward to keep it stable.
This procedure involves the fusion of up to six vertebral segments in the spine to correct a spinal deformity.The approach is posterior, meaning the surgeon accesses the spine from the back. The procedure may include the application of a cast for stabilization.
Example 1: A 14-year-old patient with adolescent idiopathic scoliosis undergoes posterior spinal fusion of 5 vertebral segments (T10-L2) to correct the curvature., A 50-year-old patient with kyphosis due to osteoporosis undergoes posterior spinal fusion of 4 vertebral segments (T11-L2)., A 25-year-old patient with congenital lordosis undergoes posterior spinal fusion of 6 vertebral segments (L1-S1).
Operative report detailing the approach (posterior), the number of vertebral segments involved, the type of bone graft used (if any), the application of a cast (if any), and any other procedures performed. Diagnosis codes supporting the medical necessity of the procedure (e.g., scoliosis, kyphosis, lordosis).
** The definition of a "vertebral segment" is crucial for accurate coding. It includes a single complete vertebral bone with its associated articular processes and laminae. Ensure the documentation clearly specifies the number of vertebral segments involved.Always consult the most current CPT manual and payer guidelines for the most accurate coding information.
- Global Days: Global days vary depending on payer policies and specific circumstances.
- Payment Status: Active
- Modifier TC rule: Modifier TC is generally not applicable to this code as it describes a surgical procedure involving both a technical and professional component.
- Fee Schedule: Fee schedules vary by payer and location. Consult historical fee data for specific information.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center