2025 CPT code 22100
Effective Date: N/A Surgery - Musculoskeletal System Feed
Partial excision of posterior vertebral component (e.g., spinous process, lamina, or facet) for intrinsic bony lesion, single vertebral segment; cervical.
Modifiers such as 22 (increased procedural services), 51 (multiple procedures), 59 (distinct procedural service), 62 (two surgeons), and 76 (repeat procedure by same physician) may be applicable depending on the circumstances.
Medical necessity must be established by demonstrating the presence of a symptomatic bony lesion impacting the spinal cord or nerve roots. Conservative treatments should be documented as having been tried and failed or deemed inappropriate. The expected benefit of surgical intervention should be clearly articulated.
The surgeon makes an incision over the affected vertebra in the neck and dissects down to the bone.Muscles are carefully retracted from the spinous process and lamina. The diseased portion of bone is excised using specialized surgical instruments. The wound is irrigated, and the incision is closed in layers.
In simple words: The surgeon removes a part of the bony arch of a vertebra in the neck to treat a bone problem within that vertebra. This procedure is done to relieve pressure on the nerves in the area.
This procedure involves the partial excision of a posterior vertebral component (such as the spinous process, lamina, or facet) in the cervical region of the spine to address an intrinsic bony lesion within a single vertebral segment.The procedure aims to remove the diseased portion of the bone while preserving the structural integrity of the vertebra as much as possible.It is typically performed when the lesion is localized and does not involve the entire vertebral body.
Example 1: A patient presents with persistent neck pain and neurological symptoms due to a benign osteoma affecting the lamina of C5. A partial laminectomy (22100) is performed to remove the osteoma and decompress the spinal cord., A patient has a localized bony lesion on the facet joint of C6 causing nerve impingement.A facetectomy as part of 22100 is performed to excise the lesion and relieve the pressure on the nerve., A patient with a history of trauma has developed a localized area of bone necrosis on the spinous process of C7. The necrotic bone is excised using code 22100 to prevent further complications.
Documentation should include details of the patient's symptoms, diagnostic imaging (X-ray, CT, MRI) confirming the presence and location of the bony lesion, operative report detailing the procedure performed, and any associated procedures like bone grafting or spinal fusion if applicable.
- Revenue Code: P3D
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center