2025 CPT code 22802
(Active) Effective Date: N/A Revision Date: N/A Surgery - Spine Surgery Musculoskeletal System Feed
Posterior spinal arthrodesis for spinal deformity affecting 7 to 12 vertebral segments, with or without cast application.
Modifiers 51 (multiple procedures), 62 (two surgeons), and 76 (repeat procedure) may be applicable depending on the circumstances.
Medical necessity is established by the presence of a significant spinal deformity causing pain or neurological compromise that is unresponsive to conservative management. Documentation should support the severity of the deformity and the patient's functional limitations.
The surgeon's responsibility includes the surgical preparation of the vertebrae, placement of bone graft material, and closure of the incision. Postoperative care is billed separately.
In simple words: The doctor fuses several bones in the spine together to correct a curve or deformity, using bone grafts (separate code needed).A cast may be used.
This code encompasses the surgical procedure of posterior spinal arthrodesis (spinal fusion) to correct spinal deformities such as scoliosis or kyphosis involving 7 to 12 vertebral segments.The procedure includes preparation of the vertebrae for fusion, bone graft placement (reported separately), and closure.A body cast may be applied post-operatively.Instrumentation procedures are reported separately.
Example 1: A 15-year-old female with adolescent idiopathic scoliosis undergoing posterior spinal fusion from T6 to L2., An adult patient with degenerative spondylolisthesis requiring posterior fusion from L4 to S1., A patient with severe kyphosis undergoing posterior spinal fusion from T8 to L3.
* Preoperative imaging (X-rays, MRI) demonstrating the spinal deformity.* Operative report detailing the specifics of the arthrodesis procedure, including levels fused and bone graft used.* Anesthesia record.* Pathology report (if applicable).* Postoperative imaging confirming fusion.
** Always refer to the most current CPT manual and payer guidelines for accurate coding.
- Revenue Code: P3D (Major Procedure, Orthopedic - Other)
- RVU: This information is not available in the provided text.Refer to current Medicare fee schedules and other payer information for RVU values.
- Global Days: The global period for this procedure will vary depending on payer and other factors.Consult payer guidelines for specific details.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Fee schedules vary by payer and date.Refer to historical fee schedule databases for relevant information.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center