CPT |
Description |
Status |
Comments |
---|---|---|---|
DECOMPRESSION SURGERY |
|||
63001 |
LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV |
Existing Code |
|
63003 |
LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC |
Existing Code |
|
63005 |
LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR |
Existing Code |
|
63011 |
LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL |
Existing Code |
|
63012 |
LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR |
Existing Code |
|
63015 |
LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL |
Existing Code |
|
63016 |
LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC |
Existing Code |
|
63017 |
LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR |
Existing Code |
|
63020 |
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC |
Existing Code |
|
63030 |
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR |
Existing Code |
|
63035 |
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR |
Existing Code |
|
63040 |
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL |
Existing Code |
|
63042 |
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR |
Existing Code |
|
63043 |
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV |
Existing Code |
|
63044 |
LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR |
Existing Code |
|
63045 |
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL |
Existing Code |
|
63046 |
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT THORACIC |
Existing Code |
|
63047 |
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR |
Existing Code |
|
63048 |
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR |
Existing Code |
|
63050 |
LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG |
Existing Code |
|
63051 |
LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ |
Existing Code |
|
63055 |
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC |
Existing Code |
|
63056 |
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR |
Existing Code |
|
63057 |
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR |
Existing Code |
|
63064 |
COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG |
Existing Code |
|
63066 |
COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG |
Existing Code |
|
63075 |
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC |
Existing Code |
|
63076 |
DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC |
Existing Code |
|
63077 |
DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC |
Existing Code |
|
63078 |
DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC |
Existing Code |
|
63081 |
VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG |
Existing Code |
|
63082 |
VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG |
Existing Code |
|
63085 |
VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG |
Existing Code |
|
63086 |
VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG |
Existing Code |
|
63087 |
VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG |
Existing Code |
|
63088 |
VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG |
Existing Code |
|
63090 |
VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG |
Existing Code |
|
63091 |
VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG |
Existing Code |
|
63101 |
VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG |
Existing Code |
|
63102 |
VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG |
Existing Code |
|
63103 |
VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG |
Existing Code |
|
63170 |
LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR |
Existing Code |
|
63172 |
LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID |
Existing Code |
|
63173 |
LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL |
Existing Code |
|
63180 |
LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG |
Existing Code |
|
63182 |
LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV >2 SEG |
Existing Code |
|
63185 |
LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS |
Existing Code |
|
63190 |
LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS |
Existing Code |
|
63191 |
LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE |
Existing Code |
|
63194 |
LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL |
Existing Code |
|
63195 |
LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC |
Existing Code |
|
63196 |
LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV |
Existing Code |
|
63197 |
LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC |
Existing Code |
|
63198 |
LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL |
Existing Code |
|
63199 |
LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC |
Existing Code |
|
63200 |
LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR |
Existing Code |
|
63250 |
LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL |
Existing Code |
|
63251 |
LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC |
Existing Code |
|
63252 |
LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR |
Existing Code |
|
63265 |
LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL |
Existing Code |
|
63266 |
LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC |
Existing Code |
|
63267 |
LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR |
Existing Code |
|
63268 |
LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL |
Existing Code |
|
63270 |
LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL |
Existing Code |
|
63271 |
LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC |
Existing Code |
|
63272 |
LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR |
Existing Code |
|
63273 |
LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL |
Existing Code |
|
63275 |
LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL |
Existing Code |
|
63276 |
LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC |
Existing Code |
|
63277 |
LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR |
Existing Code |
|
63278 |
LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL |
Existing Code |
|
63280 |
LAM BX/EXC ISPI NEO IDRL XMED CERVICAL |
Existing Code |
|
63281 |
LAM BX/EXC ISPI NEO IDRL XMED THORACIC |
Existing Code |
|
63282 |
LAM BX/EXC ISPI NEO IDRL XMED LUMBAR |
Existing Code |
|
63283 |
LAM BX/EXC ISPI NEO IDRL SACRAL |
Existing Code |
|
63285 |
LAM BX/EXC ISPI NEO IDRL IMED CERVICAL |
Existing Code |
|
63286 |
LAM BX/EXC ISPI NEO IDRL IMED THORACIC |
Existing Code |
|
63287 |
LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR |
Existing Code |
|
63290 |
LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL |
Existing Code |
|
63295 |
OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX |
Existing Code |
|
63300 |
VCRPEC LES 1 SGM XDRL CERVICAL |
Existing Code |
|
63301 |
VCRPEC LES 1 SGM XDRL THORACIC TTHRC |
Existing Code |
|
63302 |
VCRPEC LES 1 SEG XDRL THRC THORACOLMBR |
Existing Code |
|
63303 |
VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR |
Existing Code |
|
63304 |
VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL |
Existing Code |
|
63305 |
VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC |
Existing Code |
|
63306 |
VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR |
Existing Code |
|
63307 |
VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR |
Existing Code |
|
63308 |
VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG |
Existing Code |
|
S2350 |
DISKECT ANT W/OSTEOPHYTECT; LUMBAR 1 INTERSPACE |
Existing Code |
|
S2351 |
DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP |
Existing Code |
|
EPIDURAL INJECTIONS |
|||
64479 |
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL |
Existing Code |
|
64480 |
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LVL |
Existing Code |
|
64483 |
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL |
Existing Code |
|
64484 |
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LVL |
Existing Code |
|
FACETS INJECTIONS |
|||
64490 |
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL |
Existing Code |
|
64491 |
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL |
Existing Code |
|
64492 |
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL |
Existing Code |
|
64493 |
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL |
Existing Code |
|
64494 |
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL |
Existing Code |
|
64495 |
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL |
Existing Code |
|
KYPHOPLASTY |
|||
22521 |
PERCUT VERTEBROPLASTY LUMB |
Existing Code |
|
22522 |
PERCUT VERTEBROPLASTY ADDL |
Existing Code |
|
22523 |
PERCUT KYPHOPLASTY THOR |
Existing Code |
|
22524 |
PERCUT KYPHOPLASTY LUMBAR |
Existing Code |
|
22525 |
PERCUT KYPHOPLASTY ADD-ON |
Existing Code |
|
S2360 |
PERQ VERTPLSTY 1 VERT BDY UNILAT/BILAT INJ; CERV |
Existing Code |
|
OTHER |
|||
22818 |
KYPHECTOMY SINGLE OR TWO SEGMENTS |
Existing Code |
|
22819 |
KYPHECTOMY 3 OR MORE SEGMENTS |
Existing Code |
|
22855 |
REMOVAL ANTERIOR INSTRUMENTATION |
Existing Code |
|
22856 |
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV |
Existing Code |
|
22857 |
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR |
Existing Code |
|
22861 |
REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV |
Existing Code |
|
22862 |
REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR |
Existing Code |
|
22864 |
RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL |
Existing Code |
|
22865 |
RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR |
Existing Code |
|
PAIN PUMP |
|||
62350 |
IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM |
Existing Code |
|
62351 |
IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM |
Existing Code |
|
62355 |
REMOVE SPINAL CANAL CATHETER |
Existing Code |
|
62360 |
IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR |
Existing Code |
|
62361 |
IMPLTJ/RPLCMT FS NON-PRGRBL PUMP |
Existing Code |
|
62362 |
IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP |
Existing Code |
|
62365 |
REMOVE SPINE INFUSION DEVICE |
Existing Code |
|
SPINAL CORD STIMULATOR |
|||
63650 |
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63655 |
LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63661 |
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63662 |
RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63663 |
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63664 |
REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63685 |
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
63688 |
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR |
Existing Code |
Dorsal root ganglion (DRG) stimulation is not considered medically necessary due to insufficient evidence of therapeutic value. |
SPINAL FUSION |
|||
22532 |
ARTHRODESIS LATERAL EXTRACAVITARY THORACIC |
Existing Code |
|
22533 |
ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR |
Existing Code |
|
22534 |
ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR |
Existing Code |
|
22548 |
ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD |
Existing Code |
|
22551 |
ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 |
Existing Code |
|
22552 |
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC |
Existing Code |
|
22554 |
ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2 |
Existing Code |
|
22556 |
ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC |
Existing Code |
|
22558 |
ARTHRODESIS ANTERIOR INTERBODY LUMBAR |
Existing Code |
|
22585 |
ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC |
Existing Code |
|
22586 |
ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1 |
Existing Code |
|
22590 |
ARTHRODESIS POSTERIOR CRANIOCERVICAL |
Existing Code |
|
22595 |
ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2 |
Existing Code |
|
22600 |
ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM |
Existing Code |
|
22610 |
ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC |
Existing Code |
|
22612 |
ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR |
Existing Code |
|
22614 |
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL |
Existing Code |
|
22630 |
ARTHRODESIS POSTERIOR INTERBODY LUMBAR |
Existing Code |
|
22632 |
ARTHRODESIS POSTERIOR INTERBODY EA ADDL |
Existing Code |
|
22633 |
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR |
Existing Code |
|
22634 |
ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG |
Existing Code |
|
22800 |
ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG |
Existing Code |
|
22802 |
ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG |
Existing Code |
|
22804 |
ARTHRODESIS POSTERIOR SPINAL DFRM 13/> VRT SEG |
Existing Code |
|
22808 |
ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG |
Existing Code |
|
22810 |
ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG |
Existing Code |
|
22812 |
ARTHRODESIS POSTERIOR SPINAL DFRM 8/> VRT SEG |
Existing Code |
|
22830 |
EXPLORATION SPINAL FUSION |
Existing Code |
|
22840 |
POSTERIOR NON-SEGMENTAL INSTRUMENTATION |
Existing Code |
|
22841 |
INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS |
Existing Code |
|
22842 |
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG |
Existing Code |
|
22843 |
POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG |
Existing Code |
|
22844 |
POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE |
Existing Code |
|
22845 |
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS |
Existing Code |
|
22846 |
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS |
Existing Code |
|
22847 |
ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS |
Existing Code |
|
22848 |
PELVIC FIXATION OTHER THAN SACRUM |
Existing Code |
|
22849 |
REINSERTION SPINAL FIXATION DEVICE |
Existing Code |
|
22850 |
REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION |
Existing Code |
|
22852 |
REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION |
Existing Code |
|
0195T |
ARTHRODESIS PRESACRAL INTRBDY W/O INSTRUM L5/S1 |
Existing Code |
|
0196T |
ARTHRODESIS PRESACRAL INTRBDY W/O INSTRUM L4/L5 |
Existing Code |
|
VERTEBROPLASTY |
|||
22310 |
TREAT SPINE FRACTURE |
Existing Code |
|
22315 |
TREAT SPINE FRACTURE |
Existing Code |
|
22325 |
TREAT SPINE FRACTURE |
Existing Code |
|
22326 |
TREAT NECK SPINE FRACTURE |
Existing Code |
|
22327 |
TREAT THORAX SPINE FRACTURE |
Existing Code |
|
22510 |
PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC |
Existing Code |
|
22512 |
VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL |
Existing Code |
|
22513 |
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION |
Existing Code |
|
22514 |
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR |
Existing Code |
|
22515 |
PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH |
Existing Code |
|