2025 CPT code 22325
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Procedures on the Spine (Vertebral Column) Musculoskeletal System Feed
Open treatment and/or reduction of a single fractured lumbar vertebra or dislocated segment via a posterior approach.
Modifiers 51, 62, 76, and 54 may apply depending on the specific circumstances.
Medical necessity is established by the presence of a symptomatic vertebral fracture or dislocation that requires surgical intervention for pain management, neurological decompression, or spinal stabilization.The documentation should clearly support the need for open surgical treatment instead of less invasive options.
The surgeon is responsible for the pre-operative planning, the surgical procedure (including incision, dissection, reduction of fracture or dislocation, and any spinal instrumentation), and post-operative care.
- Musculoskeletal System
- Musculoskeletal System > Surgical Procedures on the Musculoskeletal System > Fracture and/or Dislocation Procedures on the Spine (Vertebral Column)
In simple words: This code describes a surgery to fix a broken or dislocated bone in the lower back. The surgeon makes an incision in the back, realigns the broken bone, and may use metal rods or screws to hold it in place.The surgery also includes putting on a cast or splint, if needed. Any extra supplies used will be billed separately.
This CPT code encompasses the open surgical treatment and/or reduction of one fractured vertebra or dislocated segment in the lumbar spine, accessed through a posterior approach.The procedure involves surgical exposure of the affected vertebra,reduction of the fracture or dislocation using appropriate surgical techniques, and may includespinal instrumentation for stabilization.The procedure includes the application and removal of the first cast, splint, or traction device. Supplies are billed separately.
Example 1: A 50-year-old male sustains a burst fracture of L1 in a motor vehicle accident.Open reduction and internal fixation with posterior spinal instrumentation is performed using code 22325., A 70-year-old female presents with a compression fracture of L3 due to osteoporosis.Open reduction and posterior fusion are performed using 22325, with additional codes for bone grafting and instrumentation as needed., A 30-year-old male experiences a dislocation of L4-L5 due to a sports injury. Open reduction and stabilization are done using 22325.
* Pre-operative imaging (X-rays, CT scan, MRI) demonstrating the fracture or dislocation.* Operative report detailing the surgical approach, techniques used for reduction, and any instrumentation applied.* Post-operative imaging to confirm reduction and stability.* Pathology report if a biopsy was performed.* Complete anesthesia record.
** Always refer to the most current CPT codebook and payer guidelines for accurate coding and reimbursement.This information is for guidance only and should not be considered a substitute for professional medical coding advice.
- Revenue Code: This will vary based on the specific payer and facility.
- RVU: RVUs vary by geographic location and payer. Consult your local fee schedule for the most up-to-date information.
- Global Days: The global surgical period for this procedure is dependent on the specific circumstances and payer guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable for this code.
- Fee Schedule: Historical fee schedules are not available here. Consult your local fee schedule.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center