CPT Codes

CPT Codes Eligible for Bundled Pricing.

Evaluation & Management

CPT Codes

  • 99213 - 3 Level Office Visit
  • 99214 - 4 Level Office Visit
  • 99243 - 4 Level Office Consult
  • 99244 - 4 Level Office Consult
  • 99245 - 5 Level Office Consult

Pain Management

CPT Codes

  • 00600-00670 - Anesthesia
  • J1030 - Injection, 40 mg
  • J1040 - Injection, 80 mg
  • 64491 - Facet Joint Injection 2nd Level
  • 64492 - Facet Joint Injection 3+ Level
  • 64494 - Facet Joint Injection 2nd Level
  • 64495 - Facet Joint Injection 3+ Level
  • 62321 - Cervical Epidural Injection
  • 62323 - Lumbar Epidural Injection
  • 64483 - Transforaminal Epidural Injection
  • 64484 - Transforaminal Epidural Injection - Addtional Levels

Radiology

CPT Codes

  • CT - 72126 - 72133
  • MRI - 72142 - 72158
  • Xray - 72020 - 72120
  • Discography - 62290, 72295
  • Myelography - 62270, 62272

Physical Therapy

CPT Codes

  • 97001 - Evaluation
  • 97002 - Re-evaluation
  • 97110 - Thearpy Exercises
  • 97140 - Manual Therapy

Lumbar Laminectomy
for decompression - 1 Level

CPT Codes

  • 63047 - Laminectomy
  • 69990 - Operating microscope

Lumbar Laminectomy
for decompression - 2 Level

CPT Codes

  • 63047 - Laminectomy
  • 63048 - Laminectomy, facetectomy, or foraminotomy of additional segment
  • 69990 - Operating microscope

Lumbar Discectomy
for herniated disc - 1 Level

CPT Codes

  • 63030 - Discectomy
  • 69990 - Operating microscope

Lumbar Discectomy
for herniated disc - 2 Level

CPT Codes

  • 63030 - Discectomy
  • 63035 - Discectomy of additional segment
  • 69990 - Operating microscope

Posterior Lumbar Decompression
with fusion (PLDF) - 1 Level

CPT Codes

  • 22612 - Posterolateral fusion
  • 63047 - Laminectomy
  • 22840 - Non-segmental instrumentation
  • 20930 - Allograft
  • 20936 - Autograft
  • 61783 - Stereotactic computer-assisted procedure

Posterior Lumbar Decompression
with fusion (PLDF) - 2 Level

CPT Codes

  • 22612 - Posterolateral fusion
  • 22614 - Additional PLDF
  • 63047 - Laminectomy
  • 63048 - Laminectomy, facetectomy, or foraminotomy of additional segment
  • 22842 - Segmental instrumentation
  • 20930 - Allograft
  • 20936 - Autograft
  • 61783 - Stereotactic computer-assisted procedure

Posterolateral Interbody Lumbar Fusion
(PLIF) - 1 Level

CPT Codes

  • 22633 - posterior or posterolateral interbody fusion
  • 22840 - Non-segmental instrumentation
  • 22853 - Insertion of device
  • 20930 - Allograft
  • 20936 - Autograft
  • 61783 - Stereotactic computer-assisted procedure

Posterolateral Interbody Lumbar Fusion
(PLIF) - 2 Level

CPT Codes

  • 22633 - posterior or posterolateral interbody fusion
  • 22634 - Additional PLIF
  • 22842 - Segmental Instrumentation
  • 22853 x 2 - Insertion of devices
  • 20930 - Allograft
  • 20936 - Autograft
  • 61783 - Stereotactic computer-assisted procedure

Anterior Lumbar Interbody Fusion
with fusion (ALIF) - 1 Level

CPT Codes

  • 22558 -Anterior lumbar interbody fusion
  • 22845 - Anterior instrumentation
  • 22853 - Insertion of device
  • 20936 - Autograft
  • 20930 - Allograft, morselized, or placement of osteopromotive material

Anterior Lumbar Interbody Fusion
with fusion (ALIF) - 2 Level

CPT Codes

  • 22558 -Anterior lumbar interbody fusion
  • 22585 -Additional ALIF
  • 22845 - Anterior instrumentation
  • 22853 x 2 - Insertion of devices
  • 20936 - Autograft
  • 20930 - Allograft, morselized, or placement of osteopromotive material

Anterior Cervical Discectomy
with fusion (ACDF) - 2 Level

CPT Codes

  • 22551 - Anterior interbody fusion
  • 22552 - Additional ACDF
  • 22845 - Anterior instrumentation
  • 22853 x 2 - Insertion of devices
  • 20930 - Allograft, morselized, or placement of osteopromotive material

Anterior Cervical Discectomy
with fusion (ACDF) - 3 Level

CPT Codes

  • 22551 - Anterior interbody fusion
  • 22552 - Additional ACDF
  • 22845 - Anterior instrumentation
  • 22853 x 3 - Insertion of devices
  • 20930 - Allograft, morselized, or placement of osteopromotive material

Lumbar Rhizotomy

CPT Codes

  • 64635 - Destruction by neurolytic agent of facet joint
  • 64636 - Destruction by neurolytic agent of additional facet joint

Cervical Decompression
with fusion - 1 Level

CPT Codes

  • 63045 - Laminectomy, facetectomy, or foraminotomy of single segment
  • 22600 - Posterior Cervical below C2
  • 22840 - Posterior non-segmental instrumentation
  • 20936 - Autograft
  • 20930 - Allograft

Cervical Decompression
with fusion - 2 Level

CPT Codes

  • 63045 - Laminectomy, facetectomy, or foraminotomy of single segment
  • 63048 - Laminectomy, facetectomy, or foraminotomy of additional segment
  • 22600 - Posterior Cervical below C2
  • 22614 - Additional Lumbar fusion
  • 22842 - Posterior segmental instrumentation
  • 20936 - Autograft
  • 20930 - Allograft

Cervical Rhizotomy

CPT Codes

  • 64633 - Destruction by neurolytic agent of facet joint
  • 64634 - Destruction by neurolytic agent of additional facet joint

Carpal Tunnel Release

CPT Codes

  • 64721 - Neuroplasty and/or transposition; median nerve at carpal tunnel

Ulnar Nerve Release

CPT Codes

  • 64718 - Neuroplasty at elbow
  • 64719 - Neuroplasty at wrist
  • 24301 - Muscle or Tendon transfer
  • 24357 - Percutaneous tenotomy
  • 24358 - Debridement
  • 24359 - Debridement with repair