1. CPT 22102 (Partial excision of posterior vertebral component [eg, spinous process, lamina or facet] for intrinsic bony lesion, single vertebral segment; lumbar) — $1,971.97
2. CPT 22103 (Partial excision of posterior vertebral component [eg, spinous process, lamina or facet] for intrinsic bony lesion, single vertebral segment; each additional segment [List separately in addition to code for primary procedure]) — $1,971.97
3. CPT 22305 (Closed treatment of vertebral process fracture[s]) — $74.58
4. CPT 22310 (Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing) — $168.84
5. CPT 22315 (Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing, with or without anesthesia, by manipulation or traction) — $577.50
6. CPT 22505 (Manipulation of spine requiring anesthesia, any region) — $566.12
7. CPT 22520 (Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; thoracic) — $1,274.83
8. CPT 22521 (Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; lumbar) — $1,274.83
9. CPT 22522 (Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; each additional thoracic or lumbar vertebral body [List separately in addition to code for primary procedure]) — $1,274.83
10. CPT 22523 (Percutaneous vertebral augmentation, including cavity creation [fracture reduction and bone biopsy included when performed] using mechanical device, 1 vertebral body, unilateral or bilateral cannulation [eg, kyphoplasty]; thoracic) — $3,551.40
11. CPT 22524 (Percutaneous vertebral augmentation, including cavity creation [fracture reduction and bone biopsy included when performed] using mechanical device, 1 vertebral body, unilateral or bilateral cannulation [eg, kyphoplasty]; lumbar) — $3,551.40
12. CPT 22525 (Percutaneous vertebral augmentation, including cavity creation [fracture reduction and bone biopsy included when performed] using mechanical device, 1 vertebral body, unilateral or bilateral cannulation [eg, kyphoplasty]; each additional thoracic or lumbar vertebral body [List separately in addition to code for primary procedure]) — $3,551.40
Source: Federal Register, Vol. 74, No. 223 (pdf).
The information provided should be utilized for educational purposes only. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
