Current Index Report (Case Log System mappings ...

 

Current Index Report (Case Log Syste

ADULT CASES: 

Index Case Areas  61322 Craniectomy or craniotomy,
Aneurysms – Craniotomy and Endovascular  evacuation of associated intrapare
 
AREA= Cranial Procedures – Vascular 
TYPE = Aneurysm ‐ craniotomy 

61583 Craniofacial approach to an
resection of frontal lobe, osteotomy

62141 Cranioplasty for skull defect

62140 Cranioplasty for skull defect

62148 Incision and retrieval of sub
procedure)

61316 Incision and subcutaneous

61591 Infratemporal post-auricular
cavernous sinus, parasellar area, i
decompression and/or mobilization

61590 Infratemporal pre-auricular a
nasopharynx), with or without disar
mobilization of the facial nerve and

69990 Microsurgical techniques, re
procedure)

61613 Obliteration of carotid aneur
sinus

61584 Orbitocranial approach to an

1/12/2011  1 

em mappings): Neurological Surgery 

CPT Codes 

, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without
enchymal hematoma; without lobectomy
nterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or
y of base of anterior cranial fossa
t; larger than 5 cm diameter
t; up to 5 cm diameter
bcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary

placement of cranial bone graft (List separately in addition to code for primary procedure)
r approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium,
infratemporal fossa) including mastoidectomy, resection of sigmoid sinus, with or without
n of contents of auditory canal or petrous carotid artery
approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base,
rticulation of the mandible, including parotidectomy, craniotomy, decompression and/or
d/or petrous carotid artery
equiring use of operating microscope (List separately in addition to code for primary

rysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous

nterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal

 

and/or temporal lobe(s); without or

61592 Orbitocranial zygomatic app
petrous apex) including osteotomy

62142 Removal of bone flap or pro

62143 Replacement of bone flap o

61601 Resection or excision of neo
dural repair, with or without graft

61615 Resection or excision of neo
foramen magnum, or C1-C3 verteb

61606 Resection or excision of neo
apex; intradural, including dural rep

62272 Spinal puncture, therapeutic

61795 Stereotactic computer-assis
addition to code for primary proced

61705 Surgery of aneurysm, vascu
artery

61697 Surgery of complex intracra

61698 Surgery of complex intracra

61700 Surgery of simple intracrani

61702 Surgery of simple intracrani

61596 Transcochlear approach to
decompression, with or without mo

1/12/2011  2 

rbital exenteration
proach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or
y of zygoma, craniotomy, extra- or intradural elevation of temporal lobe
osthetic plate of skull
or prosthetic plate of skull
oplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including

oplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen,
bral bodies; extradural
oplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous
pair, with or without graft
c, for drainage of cerebrospinal fluid (by needle or catheter)
sted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in
dure)
ular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid

anial aneurysm, intracranial approach; carotid circulation
anial aneurysm, intracranial approach; vertebrobasilar circulation
ial aneurysm, intracranial approach; carotid circulation
ial aneurysm, intracranial approach; vertebrobasilar circulation

posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy,
obilization of facial nerve and/or petrous carotid artery

  61597 Transcondylar (far lateral) a
condylectomy, mastoidectomy, res
AREA = Cranial Procedures – Vascular  mobilization
TYPE = Aneurysm ‐ endovascular 
61610 Transection or ligation, caro
code for primary procedure)

61609 Transection or ligation, caro
procedure)

61612 Transection or ligation, caro
code for primary procedure)

61611 Transection or ligation, caro
procedure)

61598 Transpetrosal approach to p
and/or sigmoid sinus

61595 Transtemporal approach to
decompression of sigmoid sinus an

61107 Twist drill hole(s) for subdur
recording device, or other intracere

76376 3D rendering with interpreta
other tomographic modality; not re

76377 3D rendering with interpreta
other tomographic modality; requir

75898 Angiography through existin

61642 Balloon dilatation of intracra
separately in addition to code for p

61641 Balloon dilatation of intracra

1/12/2011  3 

approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital
section of C1-C3 vertebral body(s), decompression of vertebral artery, with or without

otid artery in cavernous sinus; with repair by anastomosis or graft (List separately in addition to

otid artery in cavernous sinus; without repair (List separately in addition to code for primary

otid artery in petrous canal; with repair by anastomosis or graft (List separately in addition to

otid artery in petrous canal; without repair (List separately in addition to code for primary

posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus

posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy,
nd/or facial nerve, with or without mobilization
ral, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure
ebral monitoring device
ation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or
equiring image postprocessing on an independent workstation
ation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or
ring image postprocessing on an independent workstation
ng catheter for follow-up study for transcatheter therapy, embolization or infusion
anial vasospasm, percutaneous; each additional vessel in different vascular family (List
primary procedure)
anial vasospasm, percutaneous; each additional vessel in same vascular family (List

 

separately in addition to code for p

61640 Balloon dilatation of intracra

61623 Endovascular temporary ba
catheterization of vessel to be occl
radiologic supervision and interpre
occlusion

61705 Surgery of aneurysm, vascu
artery

61708 Surgery of aneurysm, vascu

61624 Transcatheter permanent oc
vascular malformation), percutaneo

61626 Transcatheter permanent oc
vascular malformation), percutaneo
branch)

0076T Transcatheter placement of
and interpretation, percutaneous; e

0075T Transcatheter placement of
and interpretation, percutaneous; i

37215 Transcatheter placement of

37216 Transcatheter placement of

61635 Transcatheter placement of
angioplasty, if performed

75894 Transcatheter therapy, emb

1/12/2011  4 

primary procedure)
anial vasospasm, percutaneous; initial vessel
alloon arterial occlusion, head or neck (extracranial/intracranial) including selective
luded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and
etation of all angiography required for balloon occlusion and to exclude vascular injury post

ular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid

ular malformation or carotid-cavernous fistula; by intracranial electrothrombosis
cclusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a
ous, any method; central nervous system (intracranial, spinal cord)
cclusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a
ous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic

f extracranial vertebral or intrathoracic carotid artery stent(s), including radiologic supervision
each additional vessel (List separately in addition to code for primary procedure)
f extracranial vertebral or intrathoracic carotid artery stent(s), including radiologic supervision
initial vessel
f intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection
f intravascular stent(s), cervical carotid artery, percutaneous; without distal embolic protection
f intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon

bolization, any method, radiological supervision and interpretation

 

37202 Transcatheter therapy, infus

75896 Transcatheter therapy, infus
interpretation

35475 Transluminal balloon angiop

75962 Transluminal balloon angiop

Brain Tumors (intra‐axial and/or extra axial) ‐  61140 Burr hole(s) or trephine; with
Craniotomy  61520 Craniectomy for excision of
AREA = Cranial Procedures ‐ Tumor 
TYPE = intra‐axial and/or extra‐axial 
craniotomy 

61518 Craniectomy for excision of
tumor, or midline tumor at base of

61519 Craniectomy for excision of

61521 Craniectomy for excision of

61526 Craniectomy, bone flap cran

61530 Craniectomy, bone flap cran
middle/posterior fossa craniotomy/

61510 Craniectomy, trephination, b

61512 Craniectomy, trephination, b

62141 Cranioplasty for skull defect

62140 Cranioplasty for skull defect

61546 Craniotomy for hypophysec

1/12/2011  5 

sion other than for thrombolysis, any type (eg, spasmolytic, vasoconstrictive)
sion, any method (eg, thrombolysis other than coronary), radiological supervision and

plasty, percutaneous; brachiocephalic trunk or branches, each vessel
plasty, peripheral artery, radiological supervision and interpretation

h biopsy of brain or intracranial lesion
brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor
brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle
skull
brain tumor, infratentorial or posterior fossa; meningioma
brain tumor, infratentorial or posterior fossa; midline tumor at base of skull
niotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor;
niotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with
/craniectomy
bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma
bone flap craniotomy; for excision of meningioma, supratentorial
t; larger than 5 cm diameter
t; up to 5 cm diameter
ctomy or excision of pituitary tumor, intracranial approach

 

61545 Craniotomy with elevation o

62148 Incision and retrieval of sub
procedure)

61215 Insertion of subcutaneous re

69990 Microsurgical techniques, re
procedure)

62142 Removal of bone flap or pro

62143 Replacement of bone flap o

62272 Spinal puncture, therapeutic

61795 Stereotactic computer-assis
addition to code for primary proced

61107 Twist drill hole(s) for subdur
recording device, or other intracere

Sellar/Parasellar Tumors – Transsphenoidal  61548 Hypophysectomy or excisio
approach (Endoscopic or Microsurgical) 
AREA = Cranial Procedures ‐ Tumor  62164 Neuroendoscopy, intracrani
TYPE = Parasellar/sellar tumor ‐  drainage
transsphenoidal 

62165 Neuroendoscopy, intracrani

62162 Neuroendoscopy, intracrani
catheter for drainage

Trauma – Total Cranial Procedures  61322 Craniectomy or craniotomy,
AREA = Cranial Procedures ‐ Trauma 
TYPE = Depressed skull fracture/penetrating 

1/12/2011  6 

of bone flap; for excision of craniopharyngioma
bcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary

eservoir, pump or continuous infusion system for connection to ventricular catheter
equiring use of operating microscope (List separately in addition to code for primary

osthetic plate of skull
or prosthetic plate of skull
c, for drainage of cerebrospinal fluid (by needle or catheter)
sted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in
dure)
ral, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure
ebral monitoring device

on of pituitary tumor, transnasal or transseptal approach, nonstereotactic
ial; with excision of brain tumor, including placement of external ventricular catheter for

ial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach1/12/2011
ial; with fenestration or excision of colloid cyst, including placement of external ventricular

, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without

  evacuation of associated intrapare
wound  61570 Craniectomy or craniotomy;
  61571 Craniectomy or craniotomy;
62141 Cranioplasty for skull defect
AREA = Cranial Procedures – Trauma  62140 Cranioplasty for skull defect
TYPE = Hematoma  62005 Elevation of depressed skul
62000 Elevation of depressed skul
62010 Elevation of depressed skul
62148 Incision and retrieval of sub
procedure)
61316 Incision and subcutaneous
21344 Open treatment of complica
approaches
21343 Open treatment of depresse
62142 Removal of bone flap or pro
62143 Replacement of bone flap o
61107 Twist drill hole(s) for subdur
recording device, or other intracere

61154 Burr hole(s) with evacuation
61156 Burr hole(s); with aspiration

1/12/2011  7 

enchymal hematoma; without lobectomy
; with excision of foreign body from brain
; with treatment of penetrating wound of brain
t; larger than 5 cm diameter
t; up to 5 cm diameter
ll fracture; compound or comminuted, extradural
ll fracture; simple, extradural
ll fracture; with repair of dura and/or debridement of brain
bcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary

placement of cranial bone graft (List separately in addition to code for primary procedure)
ated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple

ed frontal sinus fracture
osthetic plate of skull
or prosthetic plate of skull
ral, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure
ebral monitoring device
n and/or drainage of hematoma, extradural or subdural
n of hematoma or cyst, intracerebral

  61314 Craniectomy or craniotomy

AREA = Cranial Procedures ‐ Trauma  61315 Craniectomy or craniotomy
TYPE = Other (trauma) 
  61312 Craniectomy or craniotomy

61313 Craniectomy or craniotomy

61322 Craniectomy or craniotomy,
evacuation of associated intrapare

62141 Cranioplasty for skull defect

62140 Cranioplasty for skull defect

62148 Incision and retrieval of sub
procedure)

61316 Incision and subcutaneous

62142 Removal of bone flap or pro

62143 Replacement of bone flap o

61108 Twist drill hole(s) for subdur
hematoma

61107 Twist drill hole(s) for subdur
recording device, or other intracere

61322 Craniectomy or craniotomy,
evacuation of associated intrapare

61316 Incision and subcutaneous

61107 Twist drill hole(s) for subdur

1/12/2011  8 

for evacuation of hematoma, infratentorial; extradural or subdural
for evacuation of hematoma, infratentorial; intracerebellar
for evacuation of hematoma, supratentorial; extradural or subdural
for evacuation of hematoma, supratentorial; intracerebral
, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without
enchymal hematoma; without lobectomy
t; larger than 5 cm diameter
t; up to 5 cm diameter
bcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary

placement of cranial bone graft (List separately in addition to code for primary procedure)
osthetic plate of skull
or prosthetic plate of skull
ral, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural

ral, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure
ebral monitoring device
, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without
enchymal hematoma; without lobectomy
placement of cranial bone graft (List separately in addition to code for primary procedure)
ral, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure

 

Extracranial Vascular Disease –  recording device, or other intracere
endarterectormy/endovascular 
AREA = Extracranial/intracranial occlusive   
vascular disease 
TYPE = Carotid endarterectomy  35390 Reoperation, carotid, throm
code for primary procedure)
AREA = Extracranial/intracranial occlusive 
vascular disease  35301 Thromboendarterectomy, in
TYPE = Carotid angioplasty/stenting 
(endovascular)  61630 Balloon angioplasty, intracra
 
61642 Balloon dilatation of intracra
separately in addition to code for p

61641 Balloon dilatation of intracra
separately in addition to code for p

61640 Balloon dilatation of intracra

61623 Endovascular temporary ba
catheterization of vessel to be occl
radiologic supervision and interpre
occlusion

37209 Exchange of a previously pl

75900 Exchange of a previously pl
supervision and interpretation

37184 Primary percutaneous trans
fluoroscopic guidance and intrapro

37185 Primary percutaneous trans
fluoroscopic guidance and intrapro
the same vascular family (List sepa

37186 Secondary percutaneous tra

1/12/2011  9 

ebral monitoring device

mboendarterectomy, more than one month after original operation (List separately in addition to

ncluding patch graft, if performed; carotid, vertebral, subclavian, by neck incision

anial (eg, atherosclerotic stenosis), percutaneous

anial vasospasm, percutaneous; each additional vessel in different vascular family (List
primary procedure)

anial vasospasm, percutaneous; each additional vessel in same vascular family (List
primary procedure)

anial vasospasm, percutaneous; initial vessel

alloon arterial occlusion, head or neck (extracranial/intracranial) including selective
luded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and
etation of all angiography required for balloon occlusion and to exclude vascular injury post

laced intravascular catheter during thrombolytic therapy

laced intravascular catheter during thrombolytic therapy with contrast monitoring, radiological

sluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including
ocedural pharmacological thrombolytic injection(s); initial vessel

sluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including
ocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within
arately in addition to code for primary mechanical thrombectomy procedure)

ansluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique),

 

noncoronary, arterial or arterial byp
injections, provided in conjunction
separately in addition to code for p

75960 Transcatheter introduction o
open, radiological supervision and

61624 Transcatheter permanent oc
vascular malformation), percutaneo

61626 Transcatheter permanent oc
vascular malformation), percutaneo
branch)

37206 Transcatheter placement of
additional vessel (List separately in

37205 Transcatheter placement of
vessel

0076T Transcatheter placement of
and interpretation, percutaneous; e

0075T Transcatheter placement of
and interpretation, percutaneous; i

37215 Transcatheter placement of

37216 Transcatheter placement of

61635 Transcatheter placement of
angioplasty, if performed

75894 Transcatheter therapy, emb

37201 Transcatheter therapy, infus

1/12/2011  10 

pass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic
with another percutaneous intervention other than primary mechanical thrombectomy (List
primary procedure)
of intravascular stent(s) (except coronary, carotid, and vertebral vessel), percutaneous and/or
interpretation, each vessel
cclusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a
ous, any method; central nervous system (intracranial, spinal cord)
cclusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a
ous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic

f an intravascular stent(s) (except coronary, carotid, and vertebral vessel), percutaneous; each
n addition to code for primary procedure)
f an intravascular stent(s) (except coronary, carotid, and vertebral vessel), percutaneous; initial

f extracranial vertebral or intrathoracic carotid artery stent(s), including radiologic supervision
each additional vessel (List separately in addition to code for primary procedure)
f extracranial vertebral or intrathoracic carotid artery stent(s), including radiologic supervision
initial vessel
f intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection
f intravascular stent(s), cervical carotid artery, percutaneous; without distal embolic protection
f intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon

bolization, any method, radiological supervision and interpretation
sion for thrombolysis other than coronary

 

37202 Transcatheter therapy, infus

75896 Transcatheter therapy, infus
interpretation

35475 Transluminal balloon angiop

35476 Transluminal balloon angiop

75962 Transluminal balloon angiop

75978 Transluminal balloon angiop

Disc Disease and/or Spondylosis/Trauma   
with Instrumentation – Lumbar Spine 
AREA = Spinal Procedures – Disc and/or  20930 Allograft for spine surgery o
Spondylosis  20931 Allograft for spine surgery o
TYPE = Thoracic with instrumentation/fusion 

22845 Anterior instrumentation; 2 t

22846 Anterior instrumentation; 4 t

22847 Anterior instrumentation; 8 o

22851 Application of intervertebral
to vertebral defect or interspace (L

22585 Arthrodesis, anterior interbo
decompression); each additional in

22556 Arthrodesis, anterior interbo
decompression); thoracic

22532 Arthrodesis, lateral extracav
decompression); thoracic

1/12/2011  11 

sion other than for thrombolysis, any type (eg, spasmolytic, vasoconstrictive)
sion, any method (eg, thrombolysis other than coronary), radiological supervision and

plasty, percutaneous; brachiocephalic trunk or branches, each vessel
plasty, percutaneous; venous
plasty, peripheral artery, radiological supervision and interpretation
plasty, venous (eg, subclavian stenosis), radiological supervision and interpretation

only; morselized (List separately in addition to code for primary procedure)
only; structural (List separately in addition to code for primary procedure)
to 3 vertebral segments (List separately in addition to code for primary procedure)
to 7 vertebral segments (List separately in addition to code for primary procedure)
or more vertebral segments (List separately in addition to code for primary procedure)
l biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate)
List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for
nterspace (List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for

 

22534 Arthrodesis, lateral extracav
decompression); thoracic or lumba

22632 Arthrodesis, posterior interb
decompression), single interspace

22614 Arthrodesis, posterior or pos
addition to code for primary proced

22610 Arthrodesis, posterior or pos

20936 Autograft for spine surgery o
obtained from same incision (List s

20937 Autograft for spine surgery o
separately in addition to code for p

20938 Autograft for spine surgery o
fascial incision) (List separately in

20975 Electrical stimulation to aid

22841 Internal spinal fixation by wi

22848 Pelvic fixation (attachment o
in addition to code for primary proc

22840 Posterior non-segmental ins
atlantoaxial transarticular screw fix
primary procedure)

22844 Posterior segmental instrum
vertebral segments (List separately

22842 Posterior segmental instrum
vertebral segments (List separately

1/12/2011  12 

vitary technique, including minimal discectomy to prepare interspace (other than for
ar, each additional vertebral segment (List separately in addition to code for primary procedure)

body technique, including laminectomy and/or discectomy to prepare interspace (other than for
e; each additional interspace (List separately in addition to code for primary procedure)

sterolateral technique, single level; each additional vertebral segment (List separately in
dure)

sterolateral technique, single level; thoracic (with or without lateral transverse technique)

only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments)
separately in addition to code for primary procedure)

only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List
primary procedure)

only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or
addition to code for primary procedure)

bone healing; invasive (operative)

iring of spinous processes (List separately in addition to code for primary procedure)

of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately
cedure)

strumentation (eg, Harrington rod technique, pedicle fixation across one interspace,
xation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more
y in addition to code for primary procedure)

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6
y in addition to code for primary procedure)

 

22843 Posterior segmental instrum
vertebral segments (List separately

22849 Reinsertion of spinal fixation

22855 Removal of anterior instrum

22850 Removal of posterior nonse

22852 Removal of posterior segme

61795 Stereotactic computer-assis
addition to code for primary proced

AREA = Spinal Procedures – Trauma  20930 Allograft for spine surgery o
TYPE = Thoracic with instrumentation/fusion  20931 Allograft for spine surgery o

22845 Anterior instrumentation; 2 t

22846 Anterior instrumentation; 4 t

22847 Anterior instrumentation; 8 o

22851 Application of intervertebral
to vertebral defect or interspace (L

22585 Arthrodesis, anterior interbo
decompression); each additional in

22556 Arthrodesis, anterior interbo
decompression); thoracic

22532 Arthrodesis, lateral extracav
decompression); thoracic

22534 Arthrodesis, lateral extracav

1/12/2011  13 

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12
y in addition to code for primary procedure)
n device
mentation
egmental instrumentation (eg, Harrington rod)
ental instrumentation
sted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in
dure)
only; morselized (List separately in addition to code for primary procedure)
only; structural (List separately in addition to code for primary procedure)
to 3 vertebral segments (List separately in addition to code for primary procedure)
to 7 vertebral segments (List separately in addition to code for primary procedure)
or more vertebral segments (List separately in addition to code for primary procedure)
l biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate)
List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for
nterspace (List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for

 

decompression); thoracic or lumba

22614 Arthrodesis, posterior or pos
addition to code for primary proced

22610 Arthrodesis, posterior or pos

20936 Autograft for spine surgery o
obtained from same incision (List s

20937 Autograft for spine surgery o
separately in addition to code for p

20938 Autograft for spine surgery o
fascial incision) (List separately in

20975 Electrical stimulation to aid

22841 Internal spinal fixation by wi

22848 Pelvic fixation (attachment o
in addition to code for primary proc

22840 Posterior non-segmental ins
atlantoaxial transarticular screw fix
primary procedure)

22844 Posterior segmental instrum
vertebral segments (List separately

22842 Posterior segmental instrum
vertebral segments (List separately

22843 Posterior segmental instrum
vertebral segments (List separately

1/12/2011  14 

ar, each additional vertebral segment (List separately in addition to code for primary procedure)

sterolateral technique, single level; each additional vertebral segment (List separately in
dure)

sterolateral technique, single level; thoracic (with or without lateral transverse technique)

only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments)
separately in addition to code for primary procedure)

only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List
primary procedure)

only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or
addition to code for primary procedure)

bone healing; invasive (operative)

iring of spinous processes (List separately in addition to code for primary procedure)

of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately
cedure)

strumentation (eg, Harrington rod technique, pedicle fixation across one interspace,
xation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more
y in addition to code for primary procedure)

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6
y in addition to code for primary procedure)

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12
y in addition to code for primary procedure)

  22849 Reinsertion of spinal fixation

AREA = Spinal Procedures – Disc and/or  22855 Removal of anterior instrum
Spondylosis 
TYPE = Lumbar/sacral with  22850 Removal of posterior nonse
instrumentation/fusion 
22852 Removal of posterior segme

61795 Stereotactic computer-assis
addition to code for primary proced

20930 Allograft for spine surgery o

20931 Allograft for spine surgery o

22845 Anterior instrumentation; 2 t

22846 Anterior instrumentation; 4 t

22847 Anterior instrumentation; 8 o

22851 Application of intervertebral
to vertebral defect or interspace (L

22585 Arthrodesis, anterior interbo
decompression); each additional in

22558 Arthrodesis, anterior interbo
decompression); lumbar

22533 Arthrodesis, lateral extracav
decompression); lumbar

22534 Arthrodesis, lateral extracav
decompression); thoracic or lumba

22632 Arthrodesis, posterior interb

1/12/2011  15 

n device
mentation
egmental instrumentation (eg, Harrington rod)
ental instrumentation
sted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in
dure)
only; morselized (List separately in addition to code for primary procedure)
only; structural (List separately in addition to code for primary procedure)

to 3 vertebral segments (List separately in addition to code for primary procedure)
to 7 vertebral segments (List separately in addition to code for primary procedure)
or more vertebral segments (List separately in addition to code for primary procedure)
l biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate)
List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for
nterspace (List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for
ar, each additional vertebral segment (List separately in addition to code for primary procedure)
body technique, including laminectomy and/or discectomy to prepare interspace (other than for

 

decompression), single interspace

22630 Arthrodesis, posterior interb
decompression), single interspace

22614 Arthrodesis, posterior or pos
addition to code for primary proced

22612 Arthrodesis, posterior or pos

20936 Autograft for spine surgery o
obtained from same incision (List s

20937 Autograft for spine surgery o
separately in addition to code for p

20938 Autograft for spine surgery o
fascial incision) (List separately in

20975 Electrical stimulation to aid

22841 Internal spinal fixation by wi

22848 Pelvic fixation (attachment o
in addition to code for primary proc

22840 Posterior non-segmental ins
atlantoaxial transarticular screw fix
primary procedure)

22844 Posterior segmental instrum
vertebral segments (List separately

22842 Posterior segmental instrum
vertebral segments (List separately

22843 Posterior segmental instrum

1/12/2011  16 

e; each additional interspace (List separately in addition to code for primary procedure)

body technique, including laminectomy and/or discectomy to prepare interspace (other than for
e; lumbar

sterolateral technique, single level; each additional vertebral segment (List separately in
dure)

sterolateral technique, single level; lumbar (with or without lateral transverse technique)

only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments)
separately in addition to code for primary procedure)

only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List
primary procedure)

only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or
addition to code for primary procedure)

bone healing; invasive (operative)

iring of spinous processes (List separately in addition to code for primary procedure)

of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately
cedure)

strumentation (eg, Harrington rod technique, pedicle fixation across one interspace,
xation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more
y in addition to code for primary procedure)

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6
y in addition to code for primary procedure)

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12

  vertebral segments (List separately

AREA = Spinal Procedures – Trauma  22849 Reinsertion of spinal fixation
TYPE = Lumbar/sacral with 
instrumentation/fusion  22855 Removal of anterior instrum

22850 Removal of posterior nonse

22852 Removal of posterior segme

61795 Stereotactic computer-assis
addition to code for primary proced

20930 Allograft for spine surgery o

20931 Allograft for spine surgery o

22845 Anterior instrumentation; 2 t

22846 Anterior instrumentation; 4 t

22847 Anterior instrumentation; 8 o

22851 Application of intervertebral
to vertebral defect or interspace (L

22585 Arthrodesis, anterior interbo
decompression); each additional in

22558 Arthrodesis, anterior interbo
decompression); lumbar

22532 Arthrodesis, lateral extracav
decompression); thoracic

22534 Arthrodesis, lateral extracav

1/12/2011  17 

y in addition to code for primary procedure)
n device
mentation
egmental instrumentation (eg, Harrington rod)
ental instrumentation
sted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in
dure)
only; morselized (List separately in addition to code for primary procedure)
only; structural (List separately in addition to code for primary procedure)
to 3 vertebral segments (List separately in addition to code for primary procedure)
to 7 vertebral segments (List separately in addition to code for primary procedure)
or more vertebral segments (List separately in addition to code for primary procedure)
l biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate)
List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for
nterspace (List separately in addition to code for primary procedure)
ody technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for

vitary technique, including minimal discectomy to prepare interspace (other than for

 

decompression); thoracic or lumba

22632 Arthrodesis, posterior interb
decompression), single interspace

22630 Arthrodesis, posterior interb
decompression), single interspace

22614 Arthrodesis, posterior or pos
addition to code for primary proced

22612 Arthrodesis, posterior or pos

20936 Autograft for spine surgery o
obtained from same incision (List s

20937 Autograft for spine surgery o
separately in addition to code for p

20938 Autograft for spine surgery o
fascial incision) (List separately in

22841 Internal spinal fixation by wi

22848 Pelvic fixation (attachment o
in addition to code for primary proc

22840 Posterior non-segmental ins
atlantoaxial transarticular screw fix
primary procedure)

22844 Posterior segmental instrum
vertebral segments (List separately

22842 Posterior segmental instrum
vertebral segments (List separately

1/12/2011  18 

ar, each additional vertebral segment (List separately in addition to code for primary procedure)

body technique, including laminectomy and/or discectomy to prepare interspace (other than for
e; each additional interspace (List separately in addition to code for primary procedure)

body technique, including laminectomy and/or discectomy to prepare interspace (other than for
e; lumbar

sterolateral technique, single level; each additional vertebral segment (List separately in
dure)

sterolateral technique, single level; lumbar (with or without lateral transverse technique)

only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments)
separately in addition to code for primary procedure)

only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List
primary procedure)

only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or
addition to code for primary procedure)

iring of spinous processes (List separately in addition to code for primary procedure)

of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately
cedure)

strumentation (eg, Harrington rod technique, pedicle fixation across one interspace,
xation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more
y in addition to code for primary procedure)

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6
y in addition to code for primary procedure)

  22843 Posterior segmental instrum
vertebral segments (List separately
Peripheral Nerve Disorders – All Types 
AREA = Peripheral nerve procedures  22849 Reinsertion of spinal fixation
TYPE = Neurolysis/transposition 
22855 Removal of anterior instrum

22850 Removal of posterior nonse

22852 Removal of posterior segme

61795 Stereotactic computer-assis
addition to code for primary proced

 

64726 Decompression; plantar dig

64722 Decompression; unspecified

64727 Internal neurolysis, requiring
(Neuroplasty includes external neu

69990 Microsurgical techniques, re
procedure)

64716 Neuroplasty and/or transpos

64721 Neuroplasty and/or transpos

64718 Neuroplasty and/or transpos

64719 Neuroplasty and/or transpos

64713 Neuroplasty, major peripher

64714 Neuroplasty, major peripher

1/12/2011  19 

mentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12
y in addition to code for primary procedure)
n device
mentation
egmental instrumentation (eg, Harrington rod)
ental instrumentation
sted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in
dure)

gital nerve
d nerve(s) (specify)
g use of operating microscope (List separately in addition to code for neuroplasty)
urolysis)
equiring use of operating microscope (List separately in addition to code for primary

sition; cranial nerve (specify)
sition; median nerve at carpal tunnel
sition; ulnar nerve at elbow
sition; ulnar nerve at wrist
ral nerve, arm or leg; brachial plexus
ral nerve, arm or leg; lumbar plexus

  64708 Neuroplasty, major peripher
64712 Neuroplasty, major peripher
AREA = Peripheral nerve procedures  64702 Neuroplasty; digital, 1 or bo
TYPE = Nerve repair  64704 Neuroplasty; nerve of hand
64999 Unlisted procedure, nervous
64868 Anastomosis; facial-hypoglo
64870 Anastomosis; facial-phrenic
64866 Anastomosis; facial-spinal a
69990 Microsurgical techniques, re
procedure)
64886 Nerve graft (includes obtain
64885 Nerve graft (includes obtain
64898 Nerve graft (includes obtain
64897 Nerve graft (includes obtain
64896 Nerve graft (includes obtain
64895 Nerve graft (includes obtain
64893 Nerve graft (includes obtain
64892 Nerve graft (includes obtain
64891 Nerve graft (includes obtain

1/12/2011  20 

ral nerve, arm or leg; other than specified
ral nerve, arm or leg; sciatic nerve
oth, same digit
or foot
s system
ossal
c
accessory
equiring use of operating microscope (List separately in addition to code for primary

ning graft), head or neck; more than 4 cm length
ning graft), head or neck; up to 4 cm in length
ning graft), multiple strands (cable), arm or leg; more than 4 cm length
ning graft), multiple strands (cable), arm or leg; up to 4 cm length
ning graft), multiple strands (cable), hand or foot; more than 4 cm length
ning graft), multiple strands (cable), hand or foot; up to 4 cm length
ning graft), single strand, arm or leg; more than 4 cm length
ning graft), single strand, arm or leg; up to 4 cm length
ning graft), single strand, hand or foot; more than 4 cm length

 

64890 Nerve graft (includes obtain
64902 Nerve graft, each additional
64901 Nerve graft, each additional
64905 Nerve pedicle transfer; first
64907 Nerve pedicle transfer; seco
64831 Suture of digital nerve, hand
64832 Suture of digital nerve, hand
procedure)
64859 Suture of each additional m
64837 Suture of each additional ne
64864 Suture of facial nerve; extra
64865 Suture of facial nerve; infrat
64856 Suture of major peripheral n
64857 Suture of major peripheral n
64874 Suture of nerve; requiring e
suture)
64872 Suture of nerve; requiring se
64876 Suture of nerve; requiring sh
64834 Suture of one nerve; hand o

1/12/2011  21 

ning graft), single strand, hand or foot; up to 4 cm length
l nerve; multiple strands (cable) (List separately in addition to code for primary procedure)
l nerve; single strand (List separately in addition to code for primary procedure)
stage
ond stage
d or foot; 1 nerve
d or foot; each additional digital nerve (List separately in addition to code for primary

major peripheral nerve (List separately in addition to code for primary procedure)
erve, hand or foot (List separately in addition to code for primary procedure)
acranial
temporal, with or without grafting
nerve, arm or leg, except sciatic; including transposition
nerve, arm or leg, except sciatic; without transposition
extensive mobilization, or transposition of nerve (List separately in addition to code for nerve

econdary or delayed suture (List separately in addition to code for primary neurorrhaphy)
hortening of bone of extremity (List separately in addition to code for nerve suture)
or foot, common sensory nerve

  64835 Suture of one nerve; median
64836 Suture of one nerve; ulnar m
AREA = Peripheral nerve procedures  64840 Suture of posterior tibial ner
TYPE = Sympathectomy  64858 Suture of sciatic nerve
64861 Suture of; brachial plexus
AREA = Peripheral nerve procedures  64862 Suture of; lumbar plexus
TYPE = Nerve stimulation  21616 Excision first and/or cervica
64802 Sympathectomy, cervical
64804 Sympathectomy, cervicotho
64818 Sympathectomy, lumbar
64809 Sympathectomy, thoracolum
64820 Sympathectomy; digital arte
64821 Sympathectomy; radial arte
64823 Sympathectomy; superficial
64822 Sympathectomy; ulnar arter
32664 Thoracoscopy, surgical; with
64550 Application of surface (trans
64577 Incision for implantation of n

1/12/2011  22 

n motor thenar
motor
rve

al rib; with sympathectomy

oracic

mbar
eries, each digit
ery
l palmar arch
ry
h thoracic sympathectomy
scutaneous) neurostimulator
neurostimulator electrodes; autonomic nerve

 

AREA = Peripheral nerve procedures  64580 Incision for implantation of n
TYPE = Peripheral nerve section/rhizotomy  64575 Incision for implantation of n
64581 Incision for implantation of n
64590 Insertion or replacement of
64560 Percutaneous implantation
64553 Percutaneous implantation
64565 Percutaneous implantation
64555 Percutaneous implantation
64561 Percutaneous implantation
64585 Revision or removal of perip
64595 Revision or removal of perip
63191 Laminectomy with section o
64763 Transection or avulsion of o
64766 Transection or avulsion of o
64771 Transection or avulsion of o
64772 Transection or avulsion of o
64742 Transection or avulsion of; f
64744 Transection or avulsion of; g

1/12/2011  23 

neurostimulator electrodes; neuromuscular
neurostimulator electrodes; peripheral nerve (excludes sacral nerve)
neurostimulator electrodes; sacral nerve (transforaminal placement)
peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling
of neurostimulator electrodes; autonomic nerve
of neurostimulator electrodes; cranial nerve
of neurostimulator electrodes; neuromuscular
of neurostimulator electrodes; peripheral nerve (excludes sacral nerve)
of neurostimulator electrodes; sacral nerve (transforaminal placement)
pheral neurostimulator electrodes
pheral or gastric neurostimulator pulse generator or receiver
of spinal accessory nerve
obturator nerve, extrapelvic, with or without adductor tenotomy
obturator nerve, intrapelvic, with or without adductor tenotomy
other cranial nerve, extradural
other spinal nerve, extradural
facial nerve, differential or complete
greater occipital nerve

 

AREA = Peripheral nerve procedures  64738 Transection or avulsion of; i
TYPE = Excision tumor/neuroma/neurolytic  64734 Transection or avulsion of; i
agent/other  64740 Transection or avulsion of; l
64736 Transection or avulsion of; m
64746 Transection or avulsion of; p
64761 Transection or avulsion of; p
64732 Transection or avulsion of; s
64760 Transection or avulsion of; v
64752 Transection or avulsion of; v
64755 Transection or avulsion of; v
vagotomy, parietal cell vagotomy, s

20612 Aspiration and/or injection o
64650 Chemodenervation of eccrin
64653 Chemodenervation of eccrin
64614 Chemodenervation of musc
64612 Chemodenervation of musc
64613 Chemodenervation of musc
63600 Creation of lesion of spinal c
recording)

1/12/2011  24 

inferior alveolar nerve by osteotomy
infraorbital nerve
lingual nerve
mental nerve
phrenic nerve
pudendal nerve
supraorbital nerve
vagus nerve (vagotomy), abdominal
vagus nerve (vagotomy), transthoracic
vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric
supra- or highly selective vagotomy)
of ganglion cyst(s) any location
ne glands; both axillae
ne glands; other area(s) (eg, scalp, face, neck), per day
cle(s); extremity(s) and/or trunk muscle(s) (eg, for dystonia, cerebral palsy, multiple sclerosis)
cle(s); muscle(s) innervated by facial nerve (eg, for blepharospasm, hemifacial spasm)
cle(s); neck muscle(s) (eg, for spasmodic torticollis, spasmodic dysphonia)
cord by stereotactic method, percutaneous, any modality (including stimulation and/or

 

64620 Destruction by neurolytic ag
64627 Destruction by neurolytic ag
in addition to code for primary proc
64626 Destruction by neurolytic ag
64623 Destruction by neurolytic ag
addition to code for primary proced
64622 Destruction by neurolytic ag
64680 Destruction by neurolytic ag
64681 Destruction by neurolytic ag
64640 Destruction by neurolytic ag
64630 Destruction by neurolytic ag
21705 Division of scalenus anticus
21700 Division of scalenus anticus
21615 Excision first and/or cervica
64788 Excision of neurofibroma or
64792 Excision of neurofibroma or
64790 Excision of neurofibroma or
64774 Excision of neuroma; cutane
64776 Excision of neuroma; digital

1/12/2011  25 

gent, intercostal nerve
gent, paravertebral facet joint nerve; cervical or thoracic, each additional level (List separately
cedure)
gent, paravertebral facet joint nerve; cervical or thoracic, single level
gent, paravertebral facet joint nerve; lumbar or sacral, each additional level (List separately in
dure)
gent, paravertebral facet joint nerve; lumbar or sacral, single level
gent, with or without radiologic monitoring; celiac plexus
gent, with or without radiologic monitoring; superior hypogastric plexus
gent; other peripheral nerve or branch
gent; pudendal nerve
s; with resection of cervical rib
s; without resection of cervical rib
al rib;
r neurolemmoma; cutaneous nerve
r neurolemmoma; extensive (including malignant type)
r neurolemmoma; major peripheral nerve
eous nerve, surgically identifiable
l nerve, 1 or both, same digit