Three-column spinal osteotomy procedures are reported when a portion(s) of the vertebral segment(s) from
each of three columns is cut and removed in preparation for realigning the spine as part of a spinal deformity
correction. The three columns are defined as anterior (anterior two-thirds of the vertebral body), middle (poste- rior third of the vertebral body and the pedicle), and pos-terior (articular facets, lamina, and spinous process).
Three-column osteotomy is performed in the thoracic and lumbar regions for the correction of complex spinal defor-mities, such as ankylosing spondylitis, scoliosis, and neuro-muscular scoliosis. Existing codes 22210-22216 also describe posterior or posterolateral osteotomy procedures; however, they involve only one column of the spine. Separate codes for three-column osteotomy are needed to
describe the additional time and risk involved in perform-ing these procedures. A three-column osteotomy permits a greater correction and realignment of the spine than a one-column osteotomy and is indicated for larger, more complex spinal deformities. The unit of service in codes 22206-22208 is one vertebral segment.
Code 22206 is reported for three-column osteotomy when performed in the thoracic region of the spine.
Code 22207 is reported when this procedure is performed in the lumbar region.
Code 22208 is an add-on code and is reported for each additional vertebral segment with 22206 or 22207,
depending on which region is involved.
each of three columns is cut and removed in preparation for realigning the spine as part of a spinal deformity
correction. The three columns are defined as anterior (anterior two-thirds of the vertebral body), middle (poste- rior third of the vertebral body and the pedicle), and pos-terior (articular facets, lamina, and spinous process).
Three-column osteotomy is performed in the thoracic and lumbar regions for the correction of complex spinal defor-mities, such as ankylosing spondylitis, scoliosis, and neuro-muscular scoliosis. Existing codes 22210-22216 also describe posterior or posterolateral osteotomy procedures; however, they involve only one column of the spine. Separate codes for three-column osteotomy are needed to
describe the additional time and risk involved in perform-ing these procedures. A three-column osteotomy permits a greater correction and realignment of the spine than a one-column osteotomy and is indicated for larger, more complex spinal deformities. The unit of service in codes 22206-22208 is one vertebral segment.
Code 22206 is reported for three-column osteotomy when performed in the thoracic region of the spine.
Code 22207 is reported when this procedure is performed in the lumbar region.
Code 22208 is an add-on code and is reported for each additional vertebral segment with 22206 or 22207,
depending on which region is involved.
Spine osteotomy is a surgical procedure in which a section of the spinal bone is cut and removed to allow for correction of spinal alignment.
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Code 22207 is reported when this procedure is performed in the lumbar region.
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