2025 CPT code 22869
(Active) Effective Date: N/A Revision Date: N/A Surgery - Spinal Instrumentation Procedures Musculoskeletal System Feed
Insertion of an interlaminar/interspinous process stabilization/distraction device in the lumbar spine, single level, without open decompression or fusion; image guidance included when performed.
Modifiers may be applicable depending on the circumstances of the procedure, such as additional levels, use of anesthesia, or assistant surgeon involvement.Consult the CPT® guidelines and payer-specific guidelines for appropriate modifier use.
The procedure is medically necessary when conservative treatments have failed to relieve symptoms of spinal stenosis, degenerative disc disease, or spondylolisthesis. The decision to proceed should be based on the patient's clinical presentation, imaging findings, and the physician's assessment.
The physician performs a minimally invasive procedure to insert a spinal stabilization or distraction device. This includes making a small incision, dissecting through tissues, retracting muscles, placing the device between the spinous processes, and closing the incision. Image guidance may be used.
In simple words: The doctor inserts a small device into the lower back to help stabilize the spine or to reduce pressure on the nerves.This is done without major surgery or permanently joining the vertebrae together.
This CPT code describes the minimally invasive insertion of an interlaminar or interspinous process stabilization or distraction device at a single lumbar spinal level.The procedure aims to stabilize the spine or distract the neural foramina to relieve pressure on nerve roots without performing open decompression or spinal fusion. Image guidance (fluoroscopy, ultrasound, etc.) may be used and is included in the code. The device is attached to the spinous processes of adjacent vertebrae.
Example 1: A 55-year-old patient with lumbar spinal stenosis and low back pain undergoes insertion of an interspinous process distraction device at L4-L5 to alleviate nerve root compression.Image guidance is utilized., A 60-year-old patient presents with degenerative disc disease at L3-L4, causing radiculopathy.The physician inserts an interlaminar stabilization device at L3-L4 to restrict painful motion., A 70-year-old patient with spondylolisthesis undergoes placement of an interspinous process device to improve spinal stability and reduce pain.No open decompression or fusion is necessary.
* Pre-operative diagnosis with clear indication for the procedure.* Detailed operative report describing the device used, the level(s) of insertion, and any complications.* Imaging studies (X-rays, MRI) to confirm the diagnosis and assess the outcome.* Post-operative assessment of the patient's condition and pain relief.
** Always refer to the most current CPT® guidelines and payer-specific policies before coding this procedure.
- RVU: RVUs vary based on geographic location and other factors; consult your local fee schedule.
- Global Days: The global period is not specified for this code; consult payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not typically applicable to this code.
- Fee Schedule: Fee schedules vary by location and payer. Consult your specific payer's fee schedule for historical data.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient Department