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 ASC-eligible. Some codes are ASC-eligible and can be performed in a certified ambulatory surgery center, while others are typically done in a hospital outpatient department or office instead. DataLily AI's procedure library tracks CPT-specific prior-authorization and documentation requirements for spine and other specialties.
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Ortho – Spine codes(1–60 of 189)
- 63030Lumbar laminotomy with decompression of nerve root(s), single level
- 63047Lam facetec & foramot lumbar
- 22551Arthrodesis anterior interbody cervical
- 62321Injection interlaminar cervical/thoracic
- 22100Remove part of neck vertebra
- 22101Remove part thorax vertebra
- 22102Remove part lumbar vertebra
- 22103Remove extra spine segment
- 22110Remove part of neck vertebra
- 22112Remove part thorax vertebra
- 22114Remove part lumbar vertebra
- 22116Remove extra spine segment
- 22206Incis spine 3 column thorac
- 22207Incis spine 3 column lumbar
- 22208Incis spine 3 column adl seg
- 22210Incis 1 vertebral seg cervical
- 22212Incis 1 vertebral seg thorac
- 22214Incis 1 vertebral seg lumbar
- 22216Incis additional spine segment
- 22220Osteot disc anterior 1 vertebral segment cervical
- 22222Osteot disc anterior 1vrt segment thoracic
- 22224Osteot disc anterior 1vrt segment lumbar
- 22226Osteot disc anterior 1vrt segment each
- 22310Closed treatment vertebral fracture without manj
- 22315Closed treatment vertebral fracture with manj
- 22318Treat odontoid fracture without graft
- 22319Treat odontoid fracture with graft
- 22325Treat spine fracture
- 22326Treat neck spine fracture
- 22327Treat thorax spine fracture
- 22328Treat each add spine fracture
- 22505Manipulation of spine
- 22510Percutaneous cervicothoracic inject
- 22511Percutaneous lumbosacral injection
- 22512Vertebroplasty additional inject
- 22513Percutaneous vertebral augmentation
- 22514Percutaneous vertebral augmentation
- 22515Percutaneous vertebral augmentation
- 22532Arthrodesis lat xtrcvtry tq thoracic
- 22533Arthrodesis lat xtrcvtry tq lumbar
- 22534Arthrodesis lat xtrcvtry tq each ad
- 22548Arthrodesis anterior toral/xoral c1-c2
- 22552Arthrodesis anterior interbody cervical each
- 22554Arthrodesis anterior interbody min disc cervical
- 22556Arthrodesis anterior interbody min disc thc
- 22558Arthrodesis anterior interbody min disc lum
- 22585Arthrodesis anterior interbody min disc each
- 22586Arthrodesis pre-sac interbody l5-s1
- 22590Arthrodesis posterior tq craniocervical
- 22595Arthrodesis posterior tq atlas-axis
- 22600Arthrodesis posterior tq 1ntrspc cervical
- 22610Arthrodesis posterior tq 1ntrspc thoracic
- 22612Arthrodesis posterior tq 1ntrspc lumbar
- 22614Arthrodesis posterior tq 1ntrspc each add
- 22630Arthrodesis posterior tq 1ntrspc lum
- 22632Arthrodesis posterior tq 1ntrspc lm each
- 22633Arthrodesis cmbn 1ntrspc lumbar
- 22800Arthrodesis posterior dfrm<6 vertebral segment
- 22802Arthrodesis posterior dfrm 7-12 vertebral segment
- 22804Arthrodesis posterior dfrm 13+ vertebral segment
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 a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling. 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 each code's ASC-eligibility status before scheduling. ASC-eligible codes can be performed in a certified ambulatory surgery center. Ancillary services support those procedures, while some codes are not typically performed in an ASC. Because ASC-eligibility status and payer prior-authorization rules change, confirm each code before scheduling and billing.