CPT® Code 22114

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

The CPT® Code 22114 refers to the procedure of partial excision of a vertebral body specifically for the treatment of an intrinsic bony lesion located within a single lumbar vertebral segment. This procedure is performed without the need for decompression of the spinal cord or nerve roots, indicating that the primary focus is on the removal of the bony lesion itself rather than addressing any potential compression issues affecting the spinal structures. During the procedure, a surgical incision is made over the affected vertebral segment or just lateral to the vertebra in question. The paravertebral muscles, which are located adjacent to the spine, are then exposed and either incised or retracted to allow access to the vertebral body. Once the vertebral body is visible, the surgeon locates the lesion and evaluates its extent through visual inspection and, if necessary, radiographic imaging. This assessment is crucial for determining how much bone needs to be removed. The actual removal of the bony lesion is carried out using specialized instruments such as a high-speed bur and/or a curette, with careful attention to preserving the surrounding nerve roots and other vital structures. After the complete excision of the lesion, the surgical incision is meticulously closed in layers to promote proper healing. It is important to note that there are specific codes for similar procedures on different vertebral segments, such as cervical and thoracic, which are indicated by codes 22110, 22112, 22214, and 22116, respectively.