2025 CPT code 22812
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Arthrodesis Procedures for Spine Deformity Musculoskeletal System Feed
Anterior arthrodesis (spinal fusion) of 8 or more vertebral segments, using an anterior interbody technique.
Modifiers 22 (increased procedural services), 51 (multiple procedures), and 62 (two surgeons) may be applicable depending on the circumstances.Consult the CPT guidelines for detailed rules regarding modifier usage.
Medical necessity is established by the presence of a clinically significant spinal deformity causing pain or functional impairment that has not responded to conservative treatment options.Documentation must support the severity and impact of the deformity.
The surgeon's responsibilities include preoperative planning, surgical execution (anterior approach, discectomy if needed, bone graft placement), and postoperative care.
- Musculoskeletal System
- Musculoskeletal System > Surgical Procedures on the Musculoskeletal System > Arthrodesis Procedures for Spine Deformity
In simple words: This code describes a spinal fusion surgery where the doctor joins eight or more bones in the spine from the front. This is done to correct a spinal curve problem like scoliosis or kyphosis and relieve pain.Sometimes a cast is used afterward.
This code represents an anterior arthrodesis procedure involving eight or more vertebral segments.The procedure utilizes an anterior interbody technique, which may include a minimal discectomy to prepare the interspace.The procedure aims to fuse vertebrae together to address spinal deformity, such as scoliosis or kyphosis.A body cast may be applied post-operatively. Bone grafting and instrumentation are reported separately if performed.
Example 1: A 60-year-old female with severe kyphosis undergoes anterior spinal fusion of T10-L2 to correct the curvature and alleviate back pain.The procedure involves an anterior interbody technique with autologous bone graft., A 16-year-old male with idiopathic scoliosis requires a significant anterior spinal fusion from T4-L4.The surgeon uses an anterior approach and multiple bone grafts. Instrumentation may also be used., A 45-year-old male with a complex spinal deformity due to trauma requires anterior spinal fusion. The case involves multiple vertebral segments and significant soft tissue dissection.Multiple surgeons may participate, necessitating modifier 62.
Preoperative imaging (X-rays, CT scans), operative report detailing the approach, segments fused, type of bone graft, and any instrumentation used.Postoperative imaging to confirm fusion.Progress notes documenting patient recovery.
** Thorough documentation is crucial for accurate coding and reimbursement.Knowledge of spinal anatomy and surgical techniques is essential for proper code selection.Always refer to the most current CPT guidelines for the most accurate information.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: This information is not available in the provided text.RVUs vary depending on location, facility type, and other factors. Consult a current RVU database for precise values.
- Global Days: The global period for this procedure is 90 days. All related services (office visits, etc.) within this period are included in the global fee.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier does not apply to this code.
- Fee Schedule: This information is not available in the provided text.Historical fee schedules can be found in various medical billing databases.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center