CPT® Code 22110

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical

The CPT® Code 22110 refers to the procedure of partial excision of a vertebral body specifically for the treatment of an intrinsic bony lesion located within a single cervical vertebral segment. This procedure is performed without the need for decompression of the spinal cord or nerve root(s). In simpler terms, this surgical intervention involves making an incision over the affected area of the cervical spine, which is the portion of the spine located in the neck. The surgeon carefully exposes the paravertebral muscles, which are the muscles adjacent to the spine, either by incising or retracting them to gain access to the vertebral body. Once the vertebral body is visible, the surgeon locates the bony lesion that needs to be excised. The evaluation of the lesion is conducted both visually and through radiographic imaging, if necessary, to determine its extent and the precise amount of bone that needs to be removed. The actual removal of the lesion is performed using specialized instruments such as a high-speed bur and/or a curette, with a strong emphasis on protecting the surrounding nerve roots and other critical structures during the procedure. After the complete excision of the bony lesion, the surgical incision is meticulously closed in layers to promote proper healing. This code is specifically designated for the excision of a bone lesion from one cervical vertebral body, and it is important to note that there are additional codes for lesions located in thoracic and lumbar vertebrae, as well as for excisions involving multiple vertebral bodies.