CPT® Code 22328

Add-On Code

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure)

The CPT® Code 22328 refers to the open treatment and/or reduction of vertebral fractures and/or dislocations through a posterior approach, specifically for one fractured vertebra or dislocated segment. This procedure is typically performed when a patient has sustained a significant injury to the spine, resulting in a fracture or dislocation that requires surgical intervention to restore stability and alignment. The process begins with the patient being positioned in a prone position, allowing the surgeon access to the affected area of the spine. An incision is made over the fractured or dislocated vertebra, enabling the physician to directly visualize and address the injury. Stabilization of the vertebra is achieved using a rod, which may be necessary to maintain proper alignment during the healing process. In some cases, fusion of the vertebra may be required, which can be accomplished through grafting techniques or internal fixation methods. It is important to note that the incision is subsequently closed after the procedure is completed. Additionally, this code is used to report each additional fractured vertebra or dislocated segment beyond the primary procedure, which is indicated by the use of other specific codes for lumbar, cervical, or thoracic procedures. This structured approach ensures that all aspects of the surgical intervention are accurately captured for coding and billing purposes.