What is the Current Procedural Terminology (CPT) code for anterior spinal instrumentation?

From the Research

Anterior Spinal Instrumentation CPT Code

• The Current Procedural Terminology (CPT) code for anterior spinal instrumentation is 22845, however, this code should not be used to report integrated instrumentation (plate) with an interbody device 1.
• If additional anterior instrumentation (e.g., plates and screws) is placed with an integrated interbody device, then a 59 modifier should be used 1.
• Other CPT codes related to spinal instrumentation include:
  • 22551: single-level subaxial ACDF without instrumentation 1
  • 22800,22802, and 22804: posterior spinal fusions 2
  • 22830,22849,22850, and 22852: re-insertion of spinal fixation device, exploration of spinal fusions, and removal of posterior instrumentation 2

Usage of Anterior Spinal Instrumentation

• The use of anterior instrumentation to stabilize the cervical spine in patients with cervical spondylosis after anterior decompression and fusion is relatively safe 3.
• Anterior debridement, decompression, bone grafting, and instrumentation are safe and effective methods in the surgical management of lower cervical spine tuberculosis 4.
• The accuracy of screw insertion can be evaluated postoperatively by CT scanning, and preoperative CT examination can help plan accurate and safe anterior spinal instrumentation surgery 5.