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Posterior non-segmental instrumentation refers to a surgical technique used in the treatment of spinal deformities or instabilities. This procedure is typically performed in conjunction with an arthrodesis, commonly known as spinal fusion, which aims to stabilize the spine by fusing together adjacent vertebrae. The term "non-segmental" indicates that the instrumentation is applied to the vertebral segments at the top and bottom of the affected area, without directly attaching to the vertebrae in between. This method allows for the stabilization of the spine while preserving the motion of the intervening segments. Various techniques are utilized in posterior non-segmental instrumentation, including the Harrington rod technique, which employs a long rod secured to the spine with hooks at the upper and lower vertebrae. Other methods include pedicle fixation, which involves inserting screws into the pedicles of the vertebrae above and below a single interspace, and atlantoaxial transarticular screw fixation, which targets the C1 and C2 vertebrae. Additionally, sublaminar wiring at C1 and facet screw fixation are also employed to enhance stability. Each of these techniques is designed to provide robust support to the spine, facilitating recovery and improving patient outcomes following spinal surgery.
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The posterior non-segmental instrumentation procedure is indicated for various conditions affecting the spine, particularly those that involve deformities or instabilities. The following are specific indications for this procedure:
The procedure for posterior non-segmental instrumentation involves several key steps, each critical for ensuring the stability and effectiveness of the spinal support system. The following outlines the procedural steps:
After the posterior non-segmental instrumentation procedure, patients typically require monitoring in a recovery area before being transferred to a hospital room. Post-operative care includes pain management, monitoring for any signs of complications, and ensuring proper positioning to support spinal healing. Patients may be advised to limit movement and follow specific rehabilitation protocols to facilitate recovery. Follow-up appointments are essential to assess the stability of the instrumentation and the overall healing process. The expected recovery time may vary based on the individual patient's condition and the extent of the surgical intervention.
| Short Descr | INSERT SPINE FIXATION DEVICE | Medium Descr | POSTERIOR NON-SEGMENTAL INSTRUMENTATION | Long Descr | Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 158 - Spinal fusion |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 22100 | MPFS Status: Active Code APC J1 CPT Assistant Article Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical | 22101 | MPFS Status: Active Code APC J1 CPT Assistant Article Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic | 22102 | MPFS Status: Active Code APC J1 ASC G2 CPT Assistant Article Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar | 22110 | MPFS Status: Active Code APC C PUB 100 CPT Assistant Article Illustration for Code Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical | 22112 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic | 22114 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar | 22206 | MPFS Status: Active Code APC C CPT Assistant Article Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic | 22207 | MPFS Status: Active Code APC C CPT Assistant Article Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar | 22210 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical | 22212 | MPFS Status: Active Code APC C CPT Assistant Article Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic | 22214 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar | 22220 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical | 22222 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic | 22224 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar | 22310 | MPFS Status: Active Code APC T ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing | 22315 | MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction | 22318 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting | 22319 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting | 22325 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar | 22326 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical | 22327 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic | 22532 | MPFS Status: Active Code APC C Physician Quality Reporting Illustration for Code Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic | 22533 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar | 22548 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process | 22551 | MPFS Status: Active Code APC J1 ASC J8 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 | 22552 | Addon Code MPFS Status: Active Code APC N ASC N1 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure) | 22554 | MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting CPT Assistant Article Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 | 22556 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic | 22558 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar | 22590 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, posterior technique, craniocervical (occiput-C2) | 22595 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, posterior technique, atlas-axis (C1-C2) | 22600 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment | 22610 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) | 22612 | MPFS Status: Active Code APC J1 ASC J8 Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) | 22630 | MPFS Status: Active Code APC J1 Physician Quality Reporting CPT Assistant Article Illustration for Code Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; | 22633 | MPFS Status: Active Code APC J1 Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; | 22634 | Addon Code MPFS Status: Active Code APC N Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure) | 22800 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments | 22802 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments | 22804 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments | 22808 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments | 22810 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments | 22812 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments | 63001 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Illustration for Code Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical | 63003 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting Illustration for Code Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic | 63005 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting Illustration for Code Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except for spondylolisthesis | 63011 | MPFS Status: Active Code APC J1 Physician Quality Reporting Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral | 63012 | MPFS Status: Active Code APC J1 Physician Quality Reporting Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) | 63015 | MPFS Status: Active Code APC J1 Physician Quality Reporting Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical | 63016 | MPFS Status: Active Code APC J1 Physician Quality Reporting Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic | 63017 | MPFS Status: Active Code APC J1 Physician Quality Reporting Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar | 63020 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical | 63030 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar | 63040 | MPFS Status: Active Code APC J1 Physician Quality Reporting CPT Assistant Article Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical | 63042 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar | 63045 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical | 63046 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; thoracic | 63047 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar | 63050 | MPFS Status: Active Code APC C Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; | 63051 | MPFS Status: Active Code APC C Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices [eg, wire, suture, mini-plates], when performed) | 63052 | Add-on Code Resequenced Code MPFS Status: Active Code APC N Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; single vertebral segment (List separately in addition to code for primary procedure) | 63053 | Add-on Code Resequenced Code MPFS Status: Active Code APC N Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; each additional vertebral segment (List separately in addition to code for primary procedure) | 63055 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic | 63056 | MPFS Status: Active Code APC J1 ASC G2 Physician Quality Reporting CPT Assistant Article Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc) | 63064 | MPFS Status: Active Code APC J1 Physician Quality Reporting CPT Assistant Article Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment | 63075 | MPFS Status: Active Code APC J1 Physician Quality Reporting CPT Assistant Article Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace | 63077 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace | 63081 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment | 63085 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment | 63087 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment | 63090 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment | 63101 | MPFS Status: Active Code APC C Physician Quality Reporting Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segment | 63102 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); lumbar, single segment | 63170 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar | 63172 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space | 63173 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space | 63185 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with rhizotomy; 1 or 2 segments | 63190 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with rhizotomy; more than 2 segments | 63191 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with section of spinal accessory nerve | 63197 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic | 63200 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy, with release of tethered spinal cord, lumbar | 63250 | MPFS Status: Active Code APC C Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical | 63251 | MPFS Status: Active Code APC C Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic | 63252 | MPFS Status: Active Code APC C Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar | 63265 | MPFS Status: Active Code APC J1 Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical | 63266 | MPFS Status: Active Code APC J1 Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic | 63267 | MPFS Status: Active Code APC J1 Physician Quality Reporting Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar | 63268 | MPFS Status: Active Code APC J1 Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral | 63270 | MPFS Status: Active Code APC C Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical | 63271 | MPFS Status: Active Code APC C Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic | 63272 | MPFS Status: Active Code APC C Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar | 63273 | MPFS Status: Active Code APC C Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral | 63275 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical | 63276 | MPFS Status: Active Code APC C Physician Quality Reporting Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic | 63277 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar | 63278 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral | 63280 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical | 63281 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic | 63282 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar | 63283 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral | 63285 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical | 63286 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic | 63287 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar | 63290 | MPFS Status: Active Code APC C Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level | 63300 | MPFS Status: Active Code APC C CPT Assistant Article Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical | 63301 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach | 63302 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach | 63303 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach | 63304 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical | 63305 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach | 63306 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach | 63307 | MPFS Status: Active Code APC C Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach |
| AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 73 | Discontinued out-patient hospital/ambulatory surgery center (asc) procedure prior to the administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may cancel a surgical or diagnostic procedure subsequent to the patient's surgical preparation (including sedation when provided, and being taken to the room where the procedure is to be performed), but prior to the administration of anesthesia (local, regional block(s) or general). under these circumstances, the intended service that is prepared for but cancelled can be reported by its usual procedure number and the addition of modifier 73. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53. | 74 | Discontinued out-patient hospital/ambulatory surgery center (asc) procedure after administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (incision made, intubation started, scope inserted, etc). under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of modifier 74. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 81 | Minimum assistant surgeon: minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number. | 93 | Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system : synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located away at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that is sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | ET | Emergency services | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) | SA | Nurse practitioner rendering service in collaboration with a physician | SG | Ambulatory surgical center (asc) facility service | TV | Special payment rates, holidays/weekends | U7 | Medicaid level of care 7, as defined by each state | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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Date
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Action
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Notes
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| 2013-01-01 | Changed | Guideline information changed. |
| 2010-01-01 | Changed | Code description changed. |
| 2008-01-01 | Changed | Code description changed. |
| 2002-01-01 | Changed | Code description changed. |
| 1990-01-01 | Added | Code added |