Provider Notice 2020-04: Musculoskeletal Surgical Quality and Safety Program

Code

Description

CodeType

20930

Allograft, morselized, or placement of osteopromotive material, for spine surgery only

CPT

20931

Allograft, structural, for spine surgery only

CPT

20936

Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision

CPT

20937

Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision)

CPT

20938

Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision

CPT

22100

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical

CPT

22101

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic

CPT

22102

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar

CPT

22103

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment

CPT

22110

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical

CPT

22112

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic

CPT

22114

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar

CPT

22116

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment

CPT

22206

Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic

CPT

22207

Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar

CPT

22208

Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment

CPT

22210

Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical

CPT

22212

Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic

CPT

22214

Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar

CPT

22216

Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment

CPT

22220

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical

CPT

22222

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic

CPT

22224

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar

CPT

22226

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment

CPT

22325

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar

CPT

22326

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical

CPT

22327

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic

CPT

22328

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment

CPT

22510

Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic

CPT

22511

Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral [when specified as lumbar]

CPT

22512

Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body [when specified as other than sacral]

CPT

22513

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

CPT

22514

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar

CPT

22515

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body

CPT

22532

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic

CPT

22533

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

CPT

22534

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)

CPT

22548

Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process

CPT

22551

Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2

CPT

22552

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 separate procedure)

CPT

22554

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2

CPT

22556

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic

CPT

22558

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

CPT

22585

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace

CPT

22586

Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace

CPT

22590

Arthrodesis, posterior technique, craniocervical (occiput-C2)

CPT

22595

Arthrodesis, posterior technique, atlas-axis (C1-C2)

CPT

22600

Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment

CPT

22610

Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed)

CPT

22612

Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)

CPT

22614

Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment

CPT

22630

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar

CPT

22632

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional interspace

CPT

22633

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 and segment; lumbar

CPT

22634

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 and segment; each additional interspace and segment

CPT

22800

Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments

CPT

22802

Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments

CPT

22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments

CPT

22808

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

CPT

22810

Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments

CPT

22812

Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments

CPT

22818

Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments

CPT

22819

Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments

CPT

22830

Exploration of spinal fusion

CPT

22840

Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation)

CPT

22841

Internal spinal fixation by wiring of spinous processes

CPT

22842

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments

CPT

22843

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments

CPT

22844

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments

CPT

22845

Anterior instrumentation; 2 to 3 vertebral segments

CPT

22846

Anterior instrumentation; 4 to 7 vertebral segments

CPT

22847

Anterior instrumentation; 8 or more vertebral segments

CPT

22848

Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum

CPT

22849

Reinsertion of spinal fixation device

CPT

22850

Removal of posterior nonsegmental instrumentation (eg, Harrington rod)

CPT

22852

Removal of posterior segmental instrumentation

CPT

22853

Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)

CPT

22854

Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure

CPT

22855

Removal of anterior instrumentation

CPT

22856

Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), single interspace, cervical

CPT

22857

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar

CPT

22859

Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)

CPT

22861

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

CPT

22862

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar

CPT

22864

Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

CPT

22865

Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace, lumbar

CPT

22899

Unlisted procedure, spine

CPT

23130

Acromioplasty Or Acromionectomy, Partial, With Or Without Coracoacromial Ligament Release

CPT

23333

Removal of foreign body, shoulder; deep (subfascial or intramuscular)

CPT

23334

Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component

CPT

23335

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)

CPT

23410

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute

CPT

23412

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic

CPT

23415

Coracoacromial Ligament Release, With Or Without Acromioplasty

CPT

23420

Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)

CPT

23470

Arthroplasty, glenohumeral joint; hemiarthroplasty

CPT

23472

Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (e.g., total shoulder)

CPT

23473

Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component

CPT

23474

Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component

CPT

23616

Open Treatment Of Proximal Humeral (Surgical Or Anatomical Neck) Fracture, Includes Internal Fixation, When Performed, Includes Repair Of Tuberosity(S), When Performed; With Proximal Humeral Prosthetic Replacement

CPT

23800

Arthrodesis, glenohumeral joint;

CPT

23802

Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)

CPT

24160

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components

CPT

24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

CPT

24360

Arthroplasty, elbow; with membrane (e.g., fascial)

CPT

24361

Arthroplasty, elbow; with distal humeral prosthetic replacement

CPT

24362

Arthroplasty, elbow; with implant and fascia lata ligament reconstruction

CPT

24363

Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (e.g., total elbow)

CPT

24365

Arthroplasty, radial head

CPT

24366

Arthroplasty, radial head; with implant

CPT

24370

Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component

CPT

24371

Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component

CPT

25332

Arthroplasty, wrist, with or without interposition, with or without external or internal fixation

CPT

25441

Arthroplasty with prosthetic replacement; distal radius

CPT

25442

Arthroplasty with prosthetic replacement; distal ulna

CPT

25443

Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)

CPT

25444

Arthroplasty with prosthetic replacement; lunate

CPT

25445

Arthroplasty with prosthetic replacement; trapezium

CPT

25446

Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)

CPT

25800

ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT

CPT

25805

ARTHRODESIS WRIST W/SLIDING GRAFT

CPT

25810

ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT

CPT

25820

ARTHRODESIS WRIST LIMITED W/O BONE GRAFT

CPT

25825

ARTHRODESIS WRIST LIMITED W/AUTOGRAFT

CPT

27033

Arthrotomy, hip, including exploration or removal of loose or foreign body

CPT

27090

Removal of hip prothesis

CPT

27091

Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer

CPT

27120

Hip Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)

CPT

27122

Hip Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)

CPT

27125

Hip Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)

CPT

27130

Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

CPT

27132

Hip Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft

CPT

27134

Hip Revision of total hip arthroplasty; both components, with or without autograft or allograft

CPT

27137

Hip Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft

CPT

27138

Hip Revision of total hip arthroplasty; femoral component only, with or without allograft

CPT

27280

Arthrodesis, sacroiliac joint (including obtaining graft)

CPT

27299

Unlisted procedure, pelvis or hip joint [when specified as open procedure for femoroacetabular impingement syndrome, other than capsular plication]

CPT

27405

Repair, primary, torn ligament and/or capsule, knee; collateral

CPT

27407

Repair, primary, torn ligament and/or capsule, knee; cruciate

CPT

27409

Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments

CPT

27412

Autologous chondrocyte implantation, knee

CPT

27415

Osteochondral allograft, knee, open [when specified as osteochondral allograft]

CPT

27416

Osteochondral autograft(s), knee, open (eg, mosaicplasty) includes harvesting of autograft[s])

CPT

27437

Arthroplasty, patella; without prosthesis

CPT

27438

Arthroplasty, patella; with prosthesis

CPT

27440

Arthroplasty, knee, tibial plateau;

CPT

27441

Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy

CPT

27442

Arthroplasty, femoral condyles or tibial plateau(s), knee;

CPT

27443

Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy

CPT

27445

Arthroplasty, knee, hinge prosthesis (eg, Walldius type)

CPT

27446

Arthroplasty, knee, condyle and plateau; medial OR lateral compartment

CPT

27447

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

CPT

27486

Revision of total knee arthroplasty, with or without allograft; 1 component

CPT

27487

Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component

CPT

27488

Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee

CPT

27700

Arthroplasty, ankle

CPT

27702

Arthroplasty, ankle; with implant (total ankle)

CPT

27703

Arthroplasty, ankle; revision, total ankle

CPT

27704

Removal of ankle implant

CPT

27870

Arthrodesis, ankle, open

CPT

29826

Arthroscopy, Shoulder, Surgical; Decompression Of Subacromial Space With Partial Acromioplasty, With Coracoacromial Ligament (Ie, Arch) Release, When Performed (List Separately In Addition To Code For Primary Procedure)

CPT

29827

Arthroscopy, shoulder, surgical; with rotator cuff repair

CPT

29860

Arthroscopy, Hip, Diagnostic With Or Without Synovial Biopsy (Separate Procedure)

CPT

29861

Arthroscopy, Hip, Surgical; With Removal Of Loose Body Or Foreign Body

CPT

29862

Arthroscopy, Hip, Surgical; With Debridement/Shaving Of Articular Cartilage (Chondroplasty), Abrasion Arthroplasty, And/Or Resection Of Labrum

CPT

29863

Arthroscopy, Hip, Surgical; With Synovectomy

CPT

29866

Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)

CPT

29867

Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)

CPT

29868

Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral

CPT

29870

Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)

CPT

29871

Arthroscopy, knee, surgical; for infection, lavage and drainage

CPT

29873

Arthroscopy, knee, surgical; with lateral release

CPT

29874

Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)

CPT

29875

Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

CPT

29876

Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)

CPT

29877

Arthroscopy, knee, surgical; debridement/ shaving or articular cartilage (chondroplasty)

CPT

29879

Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture

CPT

29880

Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/ shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

CPT

29881

Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/ shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

CPT

29882

Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)

CPT

29883

Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)

CPT

29884

Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)

CPT

29885

Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixaiton (including debridement of base of lesion)

CPT

29886

Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion

CPT

29887

Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation

CPT

29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

CPT

29889

ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ

CPT

29899

Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis

CPT

29914

Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)

CPT

29915

Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)

CPT

29916

Arthroscopy, hip, surgical; with labral repair [when repair of the labral tear is associated with FAIS]

CPT

29999

Unlisted procedure, arthroscopy [when specified as arthroscopic knee lavage as a separate procedure]

CPT

36260

Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver)

CPT

36563

Insertion Of Tunneled Centrally Inserted Central Venous Access Device With Subcutaneous Pump

CPT

36583

Replacement, Complete, Of A Tunneled Centrally Inserted Central Venous Access Device, With Subcutaneous Pump, Through Same Venous Access

CPT

61215

Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter

CPT

62287

Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar

CPT

62350

Implantation, Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter, For Long-Term Medication Administration Via An External Pump Or Implantable Reservoir/Infusion Pump; Without Laminectomy

CPT

62351

Implantation, Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter, For Long-Term Medication Administration Via An External Pump Or Implantable Reservoir/Infusion Pump; With Laminectomy

CPT

62360

Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion; Subcutaneous Reservoir

CPT

62361

Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion; Nonprogrammable Pump

CPT

62362

Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion; Programmable Pump, Including Preparation Of Pump, With Or Without Programming

CPT

62365

Removal Of Subcutaneous Reservoir Or Pump, Previously Implanted For Intrathecal Or Epidural Infusion

CPT

62367

Electronic Analysis Of Programmable, Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Of Reservoir Status, Alarm Status, Drug Prescription Status); Without Reprogramming Or Refil

CPT

62368

Electronic Analysis Of Programmable, Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Of Reservoir Status, Alarm Status, Drug Prescription Status); With Reprogramming

CPT

63001

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

CPT

63003

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

CPT

63005

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

CPT

63011

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

CPT

63012

Laminectomy with removal of abnormal facets and/or pars interarticularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)

CPT

63015

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

CPT

63016

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

CPT

63017

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

CPT

63020

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical

CPT

63030

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar

CPT

63035

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar

CPT

63040

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical

CPT

63042

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, re-exploration, single interspace; lumbar

CPT

63043

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional cervical interspace (List separately in addition to code for primary procedure)

CPT

63044

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, re-exploration, single interspace; each additional lumbar interspace

CPT

63045

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

CPT

63046

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

CPT

63047

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

CPT

63048

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; each additional segment, cervical, thoracic, or lumbar

CPT

63050

Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments

CPT

63051

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)

CPT

63055

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic

CPT

63056

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)

CPT

63057

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar [when specified as lumbar]

CPT

63064

Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment

CPT

63066

Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment

CPT

63075

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace

CPT

63076

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace

CPT

63077

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace

CPT

63078

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace

CPT

63081

Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment

CPT

63082

Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment

CPT

63085

Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment

CPT

63086

Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment

CPT

63087

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

CPT

63088

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; each additional segment

CPT

63090

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

CPT

63091

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; each additional segment

CPT

63101

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 segmen

CPT

63102

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

CPT

63103

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 or lumbar, each additional segment

CPT

63170

Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar

CPT

63172

Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space

CPT

63173

Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space

CPT

63180

Laminectomy and section of dentate ligaments, with or without dural graft, cervical; 1 or 2 segments 

CPT

63182

Laminectomy and section of dentate ligaments, with or without dural graft, cervical; more than 2 segments

CPT

63185

Laminectomy with rhizotomy; 1 or 2 segments

CPT

63190

Laminectomy with rhizotomy; more than 2 segments

CPT

63191

Laminectomy with section of spinal accessory nerve

CPT

63194

Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; cervical

CPT

63195

Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; thoracic

CPT

63196

Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; cervical

CPT

63197

Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; thoracic

CPT

63198

Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; cervical

CPT

63199

Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; thoracic

CPT

63200

Laminectomy, with release of tethered spinal cord, lumbar

CPT

63250

Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical

CPT

63251

Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic

CPT

63252

Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar

CPT

63265

Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical

CPT

63267

Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar

CPT

63268

Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral

CPT

63270

Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical

CPT

63271

Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic

CPT

63272

Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar

CPT

63275

Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical

CPT

63277

Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar

CPT

63280

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical

CPT

63282

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar

CPT

63285

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical

CPT

63286

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic

CPT

63287

Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar

CPT

63290

Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level [when specified as lumbar]

CPT

63300

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical

CPT

63301

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach

CPT

63302

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach

CPT

63303

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach

CPT

63304

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical

CPT

63305

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach

CPT

63306

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach

CPT

63307

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach

CPT

63308

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment

CPT

63650

Percutaneous implantation of neurostimulator electrode array, epidural

CPT

63655

Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural

CPT

63661

Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

CPT

63662

Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

CPT

63663

Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

CPT

63664

Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

CPT

63685

Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling

CPT

63688

Revision or removal of implanted spinal neurostimulator pulse generator or receive

CPT

0163T

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar

CPT

0164T

Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure)

CPT

0165T

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar

CPT

0200T

Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles

CPT

0201T

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles

CPT

0202T

Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine

CPT

0219T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical

CPT

0220T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic

CPT

0221T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar

CPT

0222T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment

CPT

0274T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; cervical or thoracic

CPT

0275T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; lumbar

CPT

C1767

Generator, neurostimulator (implantable), non-rechargeable

HCPCS

C1772

Infusion pump, programmable (implantable)

HCPCS

C1778

Lead, neurostimulator (implantable)

HCPCS

C1787

Patient programmer, neurostimulator

HCPCS

C1820

Generator, neurostimulator (implantable), with rechargeable battery and charging system

HCPCS

C1883

Adaptor/extension, pacing lead or neurostimulator lead (implantable)

HCPCS

C1891

Infusion pump, nonprogrammable, permanent (implantable)

HCPCS

C1897

Lead, neurostimulator test kit (implantable)

HCPCS

C2626

Infusion pump, nonprogrammable, temporary (implantable)

HCPCS

C9757

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar

HCPCS

E0783

Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)

HCPCS

E0785

Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement

HCPCS

E0786

Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)

HCPCS

G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

HCPCS

J7330

Autologous cultured chondrocytes, implant

HCPCS

L8679

Implantable neurostimulator, pulse generator, any type

HCPCS

L8680

Implantable neurostimulator electrode, each

HCPCS

L8681

Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only

HCPCS

L8682

Implantable neurostimulator radiofrequency receiver

HCPCS

L8683

Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver

HCPCS

L8685

Implantable neurostimulator pulse generator, single array, rechargeable, includes extension

HCPCS

L8686

Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension

HCPCS

L8687

Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension

HCPCS

L8688

Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension

HCPCS

L8689

External recharging system for battery (internal) for use with implantable neurostimulator, replacement only

HCPCS

L8695

External recharging system for battery (external) for use with implantable neurostimulator, replacement only

HCPCS

S2112

Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)

HCPCS

S2118

METL-ON-METL TOT HIP RESRFC ACETAB&FEM CMPNT

HCPCS

S2348

Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar

HCPCS

S2350

Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace

HCPCS

S2351

Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)

HCPCS