2025 CPT code 22810
Effective Date: N/A Surgery - Musculoskeletal System Feed
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments.
Modifiers may be applicable. Modifier 62 may be used when two surgeons work together as primary surgeons on distinct portions of the procedure.Other modifiers may be necessary based on specific circumstances.
Medical necessity for 22810 is established by documentation demonstrating the presence of a spinal deformity causing significant clinical symptoms or functional impairment that has not responded to conservative treatment. The medical record should support the decision for surgical intervention and the specific approach used.
The surgeon prepares the patient and administers anesthesia.An incision is made over the affected vertebrae, and muscle attachments are mobilized from the anterior surfaces of the spine. The annulus of the disks is removed, and the nucleus is evacuated. Bone material is removed from the end plates of adjacent vertebrae and used as bone graft within the disk space. After ensuring graft stability, the incision is closed, and a cast may be applied.
In simple words: The surgeon fuses together bones in your spine from the front of your body to correct a spinal deformity. This involves 4 to 7 bones in your spine, and a cast may be placed after surgery.
This code represents an anterior arthrodesis performed to correct a spinal deformity, involving 4 to 7 vertebral segments.The procedure may or may not include the application of a cast.
Example 1: A 15-year-old patient with adolescent idiopathic scoliosis involving 5 vertebral segments undergoes anterior arthrodesis with casting., A 25-year-old patient with kyphosis affecting 6 vertebral segments undergoes anterior arthrodesis without casting., A 40-year-old patient with a post-traumatic spinal deformity across 4 vertebral segments undergoes anterior arthrodesis with structural allograft and casting.
Documentation should include the operative report detailing the surgical approach, number of vertebral segments involved, type of bone graft used (if any), application of cast (if any), and any associated procedures performed. Pre- and postoperative imaging studies should also be documented.
- Revenue Code: P3D
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center