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CPT® Code 22842
Add-On Code

Official Description

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

Common Language Description

Posterior segmental spinal instrumentation is a surgical procedure utilized during a separately reportable arthrodesis, commonly known as spinal fusion. This technique is primarily employed to address deformities or instabilities within the spine, which can result from various conditions such as degenerative diseases, trauma, or congenital anomalies. The instrumentation involves the attachment of a fixation device to the vertebral segments, specifically targeting the top and bottom vertebrae, as well as at least one additional vertebral segment in between. This method enhances the stability of the spine by providing a robust support structure. The procedure can involve different types of fixation techniques, including pedicle fixation and dual rod fixation. Pedicle fixation, also referred to as transpedicular fixation, entails the insertion of screws into the pedicles of the vertebrae, which are then directed into the vertebral bodies. This approach is executed across multiple interspaces, typically involving three or more vertebrae, ensuring that the screws are securely anchored to a plate or other fixation devices to maintain spinal stability. In contrast, dual rod fixation employs rods placed on either side of the affected spinal region, which are then secured to each vertebral segment using hooks and/or sublaminar wires. The hooks can be affixed to either the pedicle or the lamina of the vertebrae. When sublaminar wires are utilized, they are threaded under the lamina of each vertebral segment, encircling the rods and subsequently tightened to ensure a firm hold. This comprehensive approach to spinal instrumentation is critical for achieving successful outcomes in spinal surgeries, particularly when addressing complex spinal conditions.

Procedure Details

1. Indications

The posterior segmental instrumentation procedure is indicated for various conditions affecting the spine, particularly those that result in deformity or instability. The following are specific indications for performing this procedure:

Spinal Deformities Conditions such as scoliosis or kyphosis that require correction to restore normal spinal alignment.
Spinal Instability Situations where the spine lacks adequate support due to trauma, degenerative disc disease, or other pathological conditions.
Post-Traumatic Conditions Injuries to the spine that result in fractures or dislocations necessitating stabilization.
Failed Previous Surgeries Cases where prior surgical interventions have not achieved the desired stability or alignment of the spine.

2. Procedure

The posterior segmental instrumentation procedure involves several critical steps to ensure effective stabilization of the spine. The following outlines the procedural steps:

Step 1: Patient Positioning The patient is positioned prone on the operating table to provide optimal access to the posterior aspect of the spine. Proper positioning is crucial to facilitate the surgical approach and minimize complications.
Step 2: Incision and Exposure A midline incision is made over the affected vertebral segments. The soft tissues, including muscles and ligaments, are carefully dissected to expose the spinous processes and laminae of the vertebrae involved in the procedure.
Step 3: Pedicle Preparation The pedicles of the targeted vertebrae are identified and prepared for screw insertion. This may involve the use of imaging techniques to ensure accurate placement and avoid injury to surrounding structures.
Step 4: Screw Insertion Screws are inserted into the pedicles in a posteroanteromedial direction, ensuring they are anchored securely within the vertebral bodies. This step is critical for achieving the desired stability across the multiple interspaces.
Step 5: Rod Placement Dual rods are then placed on either side of the spine. These rods are connected to the screws, providing a rigid framework that supports the vertebral segments.
Step 6: Securing the Fixation The rods are secured to the screws using locking mechanisms. Additionally, hooks and/or sublaminar wires may be utilized to further stabilize the construct. If sublaminar wires are used, they are threaded under the lamina and tightened around the rods to enhance fixation.
Step 7: Closure Once the instrumentation is securely in place, the soft tissues are reapproximated, and the incision is closed in layers. Proper closure is essential to promote healing and reduce the risk of infection.

3. Post-Procedure

After the posterior segmental instrumentation procedure, patients typically require monitoring in a recovery area to assess vital signs and manage any immediate postoperative pain. Rehabilitation protocols may be initiated based on the surgeon's recommendations, which often include physical therapy to enhance recovery and restore function. Patients are usually advised on activity restrictions to prevent undue stress on the surgical site during the initial healing phase. Follow-up appointments are essential to evaluate the stability of the instrumentation and the overall progress of the patient's recovery.

Code Data Insights

Short Descr	INSERT SPINE FIXATION DEVICE
Medium Descr	POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG
Long Descr	Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (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)	2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met.
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

Add-On Codes

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

Modifier Assist

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
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.
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).
80	Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
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
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.)
AQ	Physician providing a service in an unlisted health professional shortage area (hpsa)
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.)
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.
CR	Catastrophe/disaster related
XS	Separate structure, a service that is distinct because it was performed on a separate organ/structure
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).
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.
81	Minimum assistant surgeon: minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number.
A8	Dressing for eight wounds
CC	Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
ET	Emergency services
GV	Attending physician not employed or paid under arrangement by the patient's hospice provider
GW	Service not related to the hospice patient's terminal condition
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
GZ	Item or service expected to be denied as not reasonable and necessary
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
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
U7	Medicaid level of care 7, as defined by each state
UD	Medicaid level of care 13, as defined by each state
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
XE	Separate encounter, a service that is distinct because it occurred during a separate encounter
XP	Separate practitioner, a service that is distinct because it was performed by a different practitioner

Chapter & Section Hierarchy

Personal Notes

Code History

Date	Action	Notes
2013-01-01	Changed	Guideline information changed.
2008-01-01	Changed	Code description changed.
Pre-1990	Added	Code added.

ICD-10-PCS Crosswalk

309

Code	Description

0PH304Z	Insertion of Internal Fixation Device into Cervical Vertebra, Open Approach
0PH334Z	Insertion of Internal Fixation Device into Cervical Vertebra, Percutaneous Approach
0PH344Z	Insertion of Internal Fixation Device into Cervical Vertebra, Percutaneous Endoscopic Approach
0PH404Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Open Approach
0PH434Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Approach
0PH444Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Endoscopic Approach
0PHR04Z	Insertion of Internal Fixation Device into Right Thumb Phalanx, Open Approach
0PHR34Z	Insertion of Internal Fixation Device into Right Thumb Phalanx, Percutaneous Approach
0PHR44Z	Insertion of Internal Fixation Device into Right Thumb Phalanx, Percutaneous Endoscopic Approach
0PHS04Z	Insertion of Internal Fixation Device into Left Thumb Phalanx, Open Approach
0PHS34Z	Insertion of Internal Fixation Device into Left Thumb Phalanx, Percutaneous Approach
0PHS44Z	Insertion of Internal Fixation Device into Left Thumb Phalanx, Percutaneous Endoscopic Approach
0PHT04Z	Insertion of Internal Fixation Device into Right Finger Phalanx, Open Approach
0PHT34Z	Insertion of Internal Fixation Device into Right Finger Phalanx, Percutaneous Approach
0PHT44Z	Insertion of Internal Fixation Device into Right Finger Phalanx, Percutaneous Endoscopic Approach
0PHV04Z	Insertion of Internal Fixation Device into Left Finger Phalanx, Open Approach
0PHV34Z	Insertion of Internal Fixation Device into Left Finger Phalanx, Percutaneous Approach
0PHV44Z	Insertion of Internal Fixation Device into Left Finger Phalanx, Percutaneous Endoscopic Approach
0QH004Z	Insertion of Internal Fixation Device into Lumbar Vertebra, Open Approach
0QH034Z	Insertion of Internal Fixation Device into Lumbar Vertebra, Percutaneous Approach
0QH044Z	Insertion of Internal Fixation Device into Lumbar Vertebra, Percutaneous Endoscopic Approach
0QH104Z	Insertion of Internal Fixation Device into Sacrum, Open Approach
0QH134Z	Insertion of Internal Fixation Device into Sacrum, Percutaneous Approach
0QH144Z	Insertion of Internal Fixation Device into Sacrum, Percutaneous Endoscopic Approach
0QH204Z	Insertion of Internal Fixation Device into Right Pelvic Bone, Open Approach
0QH234Z	Insertion of Internal Fixation Device into Right Pelvic Bone, Percutaneous Approach
0QH244Z	Insertion of Internal Fixation Device into Right Pelvic Bone, Percutaneous Endoscopic Approach
0QH304Z	Insertion of Internal Fixation Device into Left Pelvic Bone, Open Approach
0QH334Z	Insertion of Internal Fixation Device into Left Pelvic Bone, Percutaneous Approach
0QH344Z	Insertion of Internal Fixation Device into Left Pelvic Bone, Percutaneous Endoscopic Approach
0QH404Z	Insertion of Internal Fixation Device into Right Acetabulum, Open Approach
0QH434Z	Insertion of Internal Fixation Device into Right Acetabulum, Percutaneous Approach
0QH444Z	Insertion of Internal Fixation Device into Right Acetabulum, Percutaneous Endoscopic Approach
0QH504Z	Insertion of Internal Fixation Device into Left Acetabulum, Open Approach
0QH534Z	Insertion of Internal Fixation Device into Left Acetabulum, Percutaneous Approach
0QH544Z	Insertion of Internal Fixation Device into Left Acetabulum, Percutaneous Endoscopic Approach
0QHQ04Z	Insertion of Internal Fixation Device into Right Toe Phalanx, Open Approach
0QHQ34Z	Insertion of Internal Fixation Device into Right Toe Phalanx, Percutaneous Approach
0QHQ44Z	Insertion of Internal Fixation Device into Right Toe Phalanx, Percutaneous Endoscopic Approach
0QHR04Z	Insertion of Internal Fixation Device into Left Toe Phalanx, Open Approach
0QHR34Z	Insertion of Internal Fixation Device into Left Toe Phalanx, Percutaneous Approach
0QHR44Z	Insertion of Internal Fixation Device into Left Toe Phalanx, Percutaneous Endoscopic Approach
0QHS04Z	Insertion of Internal Fixation Device into Coccyx, Open Approach
0QHS34Z	Insertion of Internal Fixation Device into Coccyx, Percutaneous Approach
0QHS44Z	Insertion of Internal Fixation Device into Coccyx, Percutaneous Endoscopic Approach
0QS004Z	Reposition Lumbar Vertebra with Internal Fixation Device, Open Approach
0RG2070	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG2071	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG207J	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG20A0	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG20A1	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach [deleted]
0RG20AJ	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG20J0	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG20J1	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG20JJ	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG20K0	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG20K1	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG20KJ	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG20Z0	Fusion of 2 or more Cervical Vertebral Joints, Anterior Approach, Anterior Column, Open Approach [deleted]
0RG20Z1	Fusion of 2 or more Cervical Vertebral Joints, Posterior Approach, Posterior Column, Open Approach [deleted]
0RG20ZJ	Fusion of 2 or more Cervical Vertebral Joints, Posterior Approach, Anterior Column, Open Approach [deleted]
0RG2370	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG2371	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG237J	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG23A0	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0RG23A1	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0RG23AJ	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0RG23J0	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG23J1	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG23JJ	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG23K0	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG23K1	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG23KJ	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG23Z0	Fusion of 2 or more Cervical Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Approach [deleted]
0RG23Z1	Fusion of 2 or more Cervical Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0RG23ZJ	Fusion of 2 or more Cervical Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Approach [deleted]
0RG2470	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG2471	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG247J	Fusion of 2 or more Cervical Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24A0	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24A1	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0RG24AJ	Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24J0	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24J1	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG24JJ	Fusion of 2 or more Cervical Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24K0	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24K1	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG24KJ	Fusion of 2 or more Cervical Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG24Z0	Fusion of 2 or more Cervical Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0RG24Z1	Fusion of 2 or more Cervical Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0RG24ZJ	Fusion of 2 or more Cervical Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0RG7070	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG7071	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG707J	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70A0	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG70A1	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach [deleted]
0RG70AJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG70J0	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG70J1	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG70JJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70K0	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG70K1	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG70KJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG70Z0	Fusion of 2 to 7 Thoracic Vertebral Joints, Anterior Approach, Anterior Column, Open Approach [deleted]
0RG70Z1	Fusion of 2 to 7 Thoracic Vertebral Joints, Posterior Approach, Posterior Column, Open Approach [deleted]
0RG70ZJ	Fusion of 2 to 7 Thoracic Vertebral Joints, Posterior Approach, Anterior Column, Open Approach [deleted]
0RG7370	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG7371	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG737J	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG73A0	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0RG73A1	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0RG73AJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0RG73J0	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG73J1	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG73JJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG73K0	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG73K1	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG73KJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG73Z0	Fusion of 2 to 7 Thoracic Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Approach [deleted]
0RG73Z1	Fusion of 2 to 7 Thoracic Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0RG73ZJ	Fusion of 2 to 7 Thoracic Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Approach [deleted]
0RG7470	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG7471	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG747J	Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74A0	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74A1	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0RG74AJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74J0	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74J1	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG74JJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74K0	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74K1	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG74KJ	Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG74Z0	Fusion of 2 to 7 Thoracic Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0RG74Z1	Fusion of 2 to 7 Thoracic Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0RG74ZJ	Fusion of 2 to 7 Thoracic Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0RG8070	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG8071	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG807J	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80A0	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0RG80A1	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach [deleted]
0RG80AJ	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0RG80J0	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0RG80J1	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0RG80JJ	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80K0	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0RG80K1	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0RG80KJ	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0RG80Z0	Fusion of 8 or more Thoracic Vertebral Joints, Anterior Approach, Anterior Column, Open Approach [deleted]
0RG80Z1	Fusion of 8 or more Thoracic Vertebral Joints, Posterior Approach, Posterior Column, Open Approach [deleted]
0RG80ZJ	Fusion of 8 or more Thoracic Vertebral Joints, Posterior Approach, Anterior Column, Open Approach [deleted]
0RG8370	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG8371	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG837J	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG83A0	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0RG83A1	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0RG83AJ	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0RG83J0	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG83J1	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG83JJ	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG83K0	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0RG83K1	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0RG83KJ	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0RG83Z0	Fusion of 8 or more Thoracic Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Approach [deleted]
0RG83Z1	Fusion of 8 or more Thoracic Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0RG83ZJ	Fusion of 8 or more Thoracic Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Approach [deleted]
0RG8470	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG8471	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG847J	Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84A0	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84A1	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0RG84AJ	Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84J0	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84J1	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG84JJ	Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84K0	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84K1	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0RG84KJ	Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0RG84Z0	Fusion of 8 or more Thoracic Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0RG84Z1	Fusion of 8 or more Thoracic Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0RG84ZJ	Fusion of 8 or more Thoracic Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0RH00DZ	Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach
0RH03DZ	Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach
0RH04DZ	Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach
0RH10DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach
0RH13DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach
0RH14DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach
0RH40DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH43DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH44DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RH60DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH63DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH64DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RHA0DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA3DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA4DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach
0RU00JZ	Supplement Occipital-cervical Joint with Synthetic Substitute, Open Approach
0RU03JZ	Supplement Occipital-cervical Joint with Synthetic Substitute, Percutaneous Approach
0RU04JZ	Supplement Occipital-cervical Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RU10JZ	Supplement Cervical Vertebral Joint with Synthetic Substitute, Open Approach
0RU13JZ	Supplement Cervical Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RU14JZ	Supplement Cervical Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RU40JZ	Supplement Cervicothoracic Vertebral Joint with Synthetic Substitute, Open Approach
0RU43JZ	Supplement Cervicothoracic Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RU44JZ	Supplement Cervicothoracic Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RU50JZ	Supplement Cervicothoracic Vertebral Disc with Synthetic Substitute, Open Approach
0RU53JZ	Supplement Cervicothoracic Vertebral Disc with Synthetic Substitute, Percutaneous Approach
0RU54JZ	Supplement Cervicothoracic Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
0RU60JZ	Supplement Thoracic Vertebral Joint with Synthetic Substitute, Open Approach
0RU63JZ	Supplement Thoracic Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RU64JZ	Supplement Thoracic Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUA0JZ	Supplement Thoracolumbar Vertebral Joint with Synthetic Substitute, Open Approach
0RUA3JZ	Supplement Thoracolumbar Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RUA4JZ	Supplement Thoracolumbar Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SG0071	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00A1	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach [deleted]
0SG00J1	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00K1	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00Z1	Fusion of Lumbar Vertebral Joint, Posterior Approach, Posterior Column, Open Approach [deleted]
0SG0371	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03A1	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0SG03J1	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03K1	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03Z1	Fusion of Lumbar Vertebral Joint, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0SG0471	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04A1	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0SG04J1	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04K1	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04Z1	Fusion of Lumbar Vertebral Joint, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0SG1070	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG1071	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG107J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG10A1	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach [deleted]
0SG10AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG10J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10K1	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10KJ	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10Z0	Fusion of 2 or more Lumbar Vertebral Joints, Anterior Approach, Anterior Column, Open Approach [deleted]
0SG10Z1	Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Posterior Column, Open Approach [deleted]
0SG10ZJ	Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Anterior Column, Open Approach [deleted]
0SG1370	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG1371	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG137J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13A1	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0SG13AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG13JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13K1	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG13KJ	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13Z0	Fusion of 2 or more Lumbar Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Approach [deleted]
0SG13Z1	Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0SG13ZJ	Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Approach [deleted]
0SG1470	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG1471	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG147J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14A1	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0SG14AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG14JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14K1	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG14KJ	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14Z0	Fusion of 2 or more Lumbar Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0SG14Z1	Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0SG14ZJ	Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach [deleted]
0SG3071	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30A1	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach [deleted]
0SG30J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30K1	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30Z1	Fusion of Lumbosacral Joint, Posterior Approach, Posterior Column, Open Approach [deleted]
0SG3371	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33A1	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0SG33J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33K1	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33Z1	Fusion of Lumbosacral Joint, Posterior Approach, Posterior Column, Percutaneous Approach [deleted]
0SG3471	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34A1	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0SG34J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34K1	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34Z1	Fusion of Lumbosacral Joint, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach [deleted]
0SH00DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH034Z	Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH03DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH044Z	Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
0SH04DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
0SH30DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Open Approach
0SH33DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
0SH34DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
0SU00JZ	Supplement Lumbar Vertebral Joint with Synthetic Substitute, Open Approach
0SU03JZ	Supplement Lumbar Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0SU04JZ	Supplement Lumbar Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SU30JZ	Supplement Lumbosacral Joint with Synthetic Substitute, Open Approach
0SU33JZ	Supplement Lumbosacral Joint with Synthetic Substitute, Percutaneous Approach
0SU34JZ	Supplement Lumbosacral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SU50JZ	Supplement Sacrococcygeal Joint with Synthetic Substitute, Open Approach
0SU53JZ	Supplement Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Approach
0SU54JZ	Supplement Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SU60JZ	Supplement Coccygeal Joint with Synthetic Substitute, Open Approach
0SU63JZ	Supplement Coccygeal Joint with Synthetic Substitute, Percutaneous Approach
0SU64JZ	Supplement Coccygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
No matching codes found

NCCI Crosswalk

Code	Description

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.
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.
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.)
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.)
LT	Left side (used to identify procedures performed on the left side of the body)
RT	Right side (used to identify procedures performed on the right side of the body)
XE	Separate encounter, a service that is distinct because it occurred during a separate encounter
XP	Separate practitioner, a service that is distinct because it was performed by a different practitioner
XS	Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU	Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
No matching codes found

ICD-9 Crosswalk

Code	Description

249.00	Secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified
249.01	Secondary diabetes mellitus without mention of complication, uncontrolled
249.80	Secondary diabetes mellitus with other specified manifestations, not stated as uncontrolled, or unspecified
870.3	Penetrating wound of orbit, without mention of foreign body
872.10	Open wound of external ear, unspecified site, complicated
872.11	Open wound of auricle, ear, complicated
873.1	Open wound of scalp, complicated
873.50	Open wound of face, unspecified site, complicated
878.1	Open wound of penis, complicated
878.3	Open wound of scrotum and testes, complicated
878.5	Open wound of vulva, complicated
882.1	Open wound of hand except finger(s) alone, complicated
883.1	Open wound of finger(s), complicated
890.1	Open wound of hip and thigh, complicated
891.1	Open wound of knee, leg [except thigh], and ankle, complicated
906.0	Late effect of open wound of head, neck, and trunk
906.1	Late effect of open wound of extremities without mention of tendon injury
925.1	Crushing injury of face and scalp
926.0	Crushing injury of external genitalia
926.11	Crushing injury of back
927.20	Crushing injury of hand(s)
927.3	Crushing injury of finger(s)
928.20	Crushing injury of foot
928.3	Crushing injury of toe(s)
941.00	Burn of unspecified degree of face and head, unspecified site
941.01	Burn of unspecified degree of ear [any part]
941.02	Burn of unspecified degree of eye (with other parts of face, head, and neck)
941.06	Burn of unspecified degree of scalp [any part]
941.08	Burn of unspecified degree of neck
941.30	Full-thickness skin loss [third degree, not otherwise specified] of face and head, unspecified site
941.31	Full-thickness skin loss [third degree, not otherwise specified] of ear [any part]
941.32	Full-thickness skin loss [third degree, not otherwise specified] of eye (with other parts of face, head, and neck)
941.36	Full-thickness skin loss [third degree, not otherwise specified] of scalp [any part]
941.38	Full-thickness skin loss [third degree, not otherwise specified] of neck
941.40	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, face and head, unspecified site
941.41	Deep necrosis of underlying tissues [deep third degree]) without mention of loss of a body part, ear [any part]
941.42	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, of eye (with other parts of face, head, and neck)
941.46	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part of scalp [any part]
941.48	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, of neck
941.50	Deep necrosis of underlying tissues [deep third degree] with loss of a body part, of face and head, unspecified site
941.51	Deep necrosis of underlying tissues [deep third degree] with loss of a body part, of ear [any part]
941.52	Deep necrosis of underlying tissues [deep third degree] with loss of a body part, of eye (with other parts of face, head, and neck)
941.56	Deep necrosis of underlying tissues [deep third degree] with loss of a body part, of scalp [any part]
941.58	Deep necrosis of underlying tissues [deep third degree] with loss of a body part, of neck
942.05	Burn of unspecified degree of genitalia
942.35	Full-thickness skin loss [third degree, not otherwise specified] of genitalia
942.55	Deep necrosis of underlying tissues [deep third degree] with loss of a body part, of genitalia
944.00	Burn of unspecified degree of hand, unspecified site
944.01	Burn of unspecified degree of single digit (finger (nail) other than thumb
944.02	Burn of unspecified degree of thumb (nail)
944.03	Burn of unspecified degree of two or more digits of hand, not including thumb
944.04	Burn of unspecified degree of two or more digits of hand, including thumb
944.05	Burn of unspecified degree of palm
944.06	Burn of unspecified degree of back of hand
944.31	Full-thickness skin loss [third degree, not otherwise specified] of single digit [finger (nail)] other than thumb
944.32	Full-thickness skin loss [third degree, not otherwise specified] of thumb (nail)
944.33	Full-thickness skin loss [third degree, not otherwise specified]of two or more digits of hand, not including thumb
944.34	Full-thickness skin loss [third degree, not otherwise specified] of two or more digits of hand including thumb
944.35	Full-thickness skin loss [third degree, not otherwise specified] of palm of hand
944.36	Full-thickness skin loss [third degree, not otherwise specified] of back of hand
944.40	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, hand, unspecified site
944.41	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, single digit [finger (nail)] other than thumb
944.42	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, thumb (nail)
944.43	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, two or more digits of hand, not including thumb
944.44	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, two or more digits of hand including thumb
944.45	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, of palm of hand
944.46	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, of back of hand
945.02	Burn of unspecified degree of foot
945.11	Erythema [first degree] of toe(s) (nail)
945.12	Erythema [first degree] of foot
945.31	Full-thickness skin loss [third degree NOS] of toe(s) (nail)
945.32	Full-thickness skin loss [third degree NOS] of foot
945.41	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, of toe(s)(nail)
945.42	Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part, of foot
947.0	Burn of mouth and pharynx
No matching codes found