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The CPT® Code 22305 refers to the closed treatment of vertebral process fractures. In anatomical terms, each vertebra consists of several distinct processes, which include two transverse processes that extend outward from either side, a single spinous process that projects backward and downward, as well as two superior and two inferior articular processes. These structures play a crucial role in the stability and movement of the spine. When a fracture occurs in one of these processes, it is essential to confirm the diagnosis through imaging studies, such as radiographs, which are separately reportable. Prior to treatment, a thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect the patient's recovery. In this procedure, no manipulation of the fractured fragments is performed, nor is any form of immobilization required. Instead, the focus is on managing the patient's pain through appropriate medication, allowing for a conservative approach to treatment without the need for surgical intervention.
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