All ASC CPT codes
ASC SPECIALTY HUB · Spine 22100–22899; 63000–63700

Orthopedic Spine Procedures in the ASC Setting

Orthopedic spine surgeons treat conditions of the cervical, thoracic, and lumbar spine, including disc herniation, spinal stenosis, and nerve root compression. Spine CPT codes fall into two main families. The 22100 through 22899 range covers musculoskeletal spine work such as arthrodesis (fusion), including 22551, the anterior interbody fusion of the cervical spine. The 63000 through 63700 range covers procedures on the spinal cord and nerve roots, including 63030, a lumbar laminotomy with decompression of one nerve root.

Not every spine code is payable in an ASC. Codes on CMS Addendum AA are on the ASC Covered Procedures List, meaning Medicare pays them when performed in an ASC, while Addendum EE lists codes excluded from ASC payment. DataLily's procedure library tracks CPT-specific prior-authorization and documentation requirements for spine and other specialties.

Ortho – Spine codes(1–60 of 189)

Are orthopedic spine surgeries performed in an ASC?

Yes. Many spine procedures are now performed in ambulatory surgery centers, including decompressions and selected fusions, when the case fits the outpatient setting. Whether Medicare pays a specific code in an ASC depends on whether that code is on the ASC Covered Procedures List (CMS Addendum AA). Cases reported from an ASC use place of service 24.

What CPT codes does orthopedic spine surgery use?

Spine surgery draws mainly from two CPT families. The 22100-22899 range covers spine and arthrodesis procedures, such as 22551 for anterior cervical interbody fusion. The 63000-63700 range covers spinal cord and nerve root procedures, such as 63030 for lumbar laminotomy with nerve root decompression and 63047 for lumbar laminectomy with facetectomy and foraminotomy. Image-guided injections like 62321 are also common.

How do I know if a spine code is covered in an ASC?

Check the code against the CMS addenda. Codes on Addendum AA are on the ASC Covered Procedures List and are paid by Medicare in an ASC. Addendum BB lists covered ancillary services, and codes on Addendum EE are excluded from ASC payment. Because addendum status and payer prior-authorization rules change, confirm each code before scheduling and billing.

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