SJH Procedures - Spine and Neurosurgery Services New Name Old Name CPT Code Service ANTERIOR CERVICAL DISC ARTHROPLASTY Spine APPLICATION, TRACTION, SPINE, CERVICAL, USING GARDNER-WELLS APPLICATION CERVICAL TRACTION W GARDNER WELLS TONGS 20660 Application of cranial tongs, caliper, or stereotactic frame, Spine, Neurosurgery TONGS including removal (separate procedure) BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY(MASS/LESION/LIPOMA/CYST) FACE/NECK W CO2 LASER 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Aesthetics, single lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular 11104 Punch biopsy of skin (including simple closure, when General, Aesthetics, performed); single lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Aesthetics, when performed); single lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular 17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, General, Aesthetics, chemosurgery, surgical curettement), premalignant lesions (eg, Cardiovascular, Colorectal, actinic keratoses); first lesion ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular BIOPSY OR EXCISION, LESION, LOWER BODY EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) LOWER BODY General, Gynecology, Orthopedics, Plastics, Urology, Neurosurgery, Aesthetics, Colorectal, Spine, Vascular, Podiatry BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, each separate/additional lesion (list separately in addition to Orthopedics, Plastics, code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11104 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular Page 1 of 22 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Spine and Neurosurgery Services New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11105 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); each separate/additional lesion (list separately in Orthopedics, Plastics, addition to code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); each separate/additional lesion (list Orthopedics, Plastics, separately in addition to code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular BIOPSY OR EXCISION, LESION, UPPER BODY, USING CO2 LASER EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) UPPER BODY W CO2 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Aesthetics, single lesion Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics 11104 Punch biopsy of skin (including simple closure, when General, Aesthetics, performed); single lesion Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Aesthetics, when performed); single lesion Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics 17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, General, Aesthetics, chemosurgery, surgical curettement), premalignant lesions (eg, Cardiac/Thoracic Robotics, actinic keratoses); first lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics BONE GRAFT, ILIAC CREST GRAFT BONE ILIAC 20900 Bone graft, any donor area; minor or small (eg, dowel or Orthopedics, Spine button) 20902 Bone graft, any donor area; major or large Orthopedics, Spine *20956 Bone graft with microvascular anastomosis; iliac crest Orthopedics, Spine COCCYGECTOMY COCCYGECTOMY 15920 Excision, coccygeal pressure ulcer, with coccygectomy; with Spine, Orthopedics primary suture 15922 Excision, coccygeal pressure ulcer, with coccygectomy; with Spine, Orthopedics flap closure 27080 Coccygectomy, primary Spine, Orthopedics CORPECTOMY, SPINE, CERVICAL, MINIMALLY INVASIVE, 1 LEVEL, ANTERIOR MICROCERVICAL CORPECTOMY FUSION PLATING 1 *22548 Arthrodesis, anterior transoral or extraoral technique, clivus- Spine ANTERIOR APPROACH, USING MICROSCOPE, WITH FUSION C1-C2 (atlas-axis), with or without excision of odontoid process Page 2 of 22 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Spine and Neurosurgery Services New Name Old Name CPT Code Service CORPECTOMY, SPINE, CERVICAL, MINIMALLY INVASIVE, 1 LEVEL, ANTERIOR MICROCERVICAL CORPECTOMY FUSION PLATING 1 22551 Arthrodesis, anterior interbody, including disc space Spine ANTERIOR APPROACH, USING MICROSCOPE, WITH FUSION preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 22845 Anterior instrumentation; 2 to 3 vertebral segments (List Spine separately in addition to code for primary procedure) *63081 Vertebral corpectomy (vertebral body resection), partial or Spine complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment CORPECTOMY, SPINE, CERVICAL, MINIMALLY INVASIVE, 2 OR MORE ANTERIOR MICROCERVICAL CORPECTOMY FUSION PLATING 2+ *22548 Arthrodesis, anterior transoral or extraoral technique, clivus- Spine LEVELS, ANTERIOR APPROACH, USING MICROSCOPE, WITH FUSION C1-C2 (atlas-axis), with or without excision of odontoid process 22551 Arthrodesis, anterior interbody, including disc space Spine preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 22552 Arthrodesis, anterior interbody, including disc space Spine preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (list separately in addition to code for primary procedure) 22845 Anterior instrumentation; 2 to 3 vertebral segments (List Spine separately in addition to code for primary procedure) *63081 Vertebral corpectomy (vertebral body resection), partial or Spine complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment *63082 Vertebral corpectomy (vertebral body resection), partial or Spine complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in addition to code for primary procedure) CRANIECTOMY, POSTERIOR CRANIAL FOSSA CRANIECTOMY POSTERIOR *61522 Craniectomy, infratentorial or posterior fossa; for excision of Neurosurgery brain abscess *61524 Craniectomy, infratentorial or posterior fossa; for excision or Neurosurgery fenestration of cyst CRANIOPLASTY CRANIOPLASTY *62120 Repair of encephalocele, skull vault, including cranioplasty Neurosurgery *62140 Cranioplasty for skull defect; up to 5 cm diameter Neurosurgery *62141 Cranioplasty for skull defect; larger than 5 cm diameter Neurosurgery *62145 Cranioplasty for skull defect with reparative brain surgery Neurosurgery *62146 Cranioplasty with autograft (includes obtaining bone grafts); Neurosurgery up to 5 cm diameter *62147 Cranioplasty with autograft (includes obtaining bone grafts); Neurosurgery larger than 5 cm diameter *62148 Incision and retrieval of subcutaneous cranial bone graft for Neurosurgery cranioplasty (List separately in addition to code for primary procedure) CRANIOTOMY POSTERIOR FOSSA TUMOR W NEURO NAVIGATOR Neurosurgery CRANIOTOMY RIGHT FRONTAL BURR HOLE OMMAYA RESERVOIR Neurosurgery Page 3 of 22 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Spine and Neurosurgery Services New Name Old Name CPT Code Service CRANIOTOMY, DECOMPRESSIVE, FOR CHIARI MALFORMATION DECOMPRESSION CHIARI *61343 Craniectomy, suboccipital with cervical laminectomy for Neurosurgery decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) CRANIOTOMY, FOR SUBDURAL HEMATOMA EVACUATION CRANIOTOMY EVACUATION SUBDURAL HEMATOMA *61312 Craniectomy or craniotomy for evacuation of hematoma, Neurosurgery supratentorial; extradural or subdural *61314 Craniectomy or craniotomy for evacuation of hematoma, Neurosurgery infratentorial; extradural or subdural CRANIOTOMY, INFRATENTORIAL CRANIOTOMY INFRATENTORIAL *61305 Craniectomy or craniotomy, exploratory; infratentorial Neurosurgery (posterior fossa)