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2025 CPT code 22808

Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments.

This code should not be reported with thoracic or lumbar vertebral body tethering codes. Modifier 62 may be appended when two surgeons work together as primary surgeons performing distinct parts of the procedure.

Modifiers such as 22 (Increased Procedural Services), 51 (Multiple Procedures), 54 (Surgical Care Only), 55 (Postoperative Management Only), 62 (Two Surgeons), 76 (Repeat Procedure by Same Physician), and others may be applicable depending on the specific circumstances.

Medical necessity for this procedure is established by documentation of a spinal deformity causing significant functional impairment or pain, failing conservative treatment options like bracing.

The physician is responsible for the entire surgical process, including patient preparation, anesthesia, incision, disc removal, bone graft placement, wound closure, and application of any immobilization devices.They must also ensure stability of the graft and address any bleeding complications.

In simple words: Spinal fusion surgery performed from the front of the body to correct a spinal deformity involving two or three vertebrae.The surgeon accesses the spine through the abdomen or chest, removes the damaged disc, and then places a bone graft to fuse the vertebrae together.Sometimes a cast is used to keep the spine still while it heals.

This procedure involves the fusion of two to three vertebral segments in the spine through an anterior approach, often used to correct spinal deformities. It may include the application of a cast for immobilization.The procedure typically begins with an incision through the abdominal muscles to access the anterior spine.The annulus fibrosus is removed, and the nucleus pulposus is evacuated from the disc space.The cartilaginous and bony endplates of adjacent vertebrae are removed, and a bone graft is inserted into the disc space. After ensuring stability and checking for bleeding, the incision is closed, and a cast or other immobilization device may be applied.

Example 1: A 15-year-old patient with adolescent idiopathic scoliosis affecting two vertebral segments undergoes anterior arthrodesis with placement of a bone graft., A 40-year-old patient with kyphosis affecting three vertebral segments undergoes anterior arthrodesis with placement of a bone graft and application of a cast., A 25-year-old patient with a congenital spinal deformity affecting two vertebral segments undergoes anterior arthrodesis.

Documentation should include details about the spinal deformity, operative approach, number of vertebral segments involved, type of bone graft used (if any), use of a cast or other immobilization device, and any intraoperative complications.

** Bone grafting and spinal instrumentation are reported separately if performed. All associated postoperative care for 90 days is included.

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