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BETA v.3.0

2025 CPT code 22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments.

Modifier 62 can be used if two surgeons work together as primary surgeons on distinct parts of the procedure. Modifier 51 should be appended to additional vertebral procedures performed during the same session (example given with 22558, 22585).

Modifiers 22, 47, 50-59, 62, 76-82, 99 may be applicable depending on the circumstances of the procedure.

Medical necessity is established by documentation of the spinal deformity, its impact on the patient's function and quality of life, and failed conservative treatment options.

The surgeon performs the posterior arthrodesis, including incision, muscle dissection, bone preparation, bone grafting, and wound closure. They may apply a cast or other immobilization device postoperatively.

In simple words: This procedure fuses together 13 or more bones in your back to correct a deformity like scoliosis or kyphosis. The surgeon accesses your spine from the back, prepares the bone surfaces, and adds a bone graft to help the bones grow together. A cast may be used to keep the spine stable.

Posterior arthrodesis is performed for spinal deformity on 13 or more vertebral segments, with or without the application of a cast.The procedure involves exposing the posterior elements of the spine, decorticating the bone, and applying a bone graft to promote fusion.

Example 1: A 15-year-old patient with severe scoliosis involving 15 vertebral segments undergoes posterior arthrodesis with bone grafting to correct the curvature and stabilize the spine., A 60-year-old patient with kyphosis and associated pain involving 13 vertebral segments undergoes posterior arthrodesis to reduce pain and improve spinal alignment., A 30-year-old patient with a post-traumatic spinal deformity affecting 14 vertebral segments undergoes posterior arthrodesis to stabilize the spine and prevent further neurological complications.

Documentation should include the diagnosis, the number of vertebral segments involved, the operative report detailing the procedure, type of bone graft used, and any complications encountered.

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