CPT® Code 22505

Manipulation under anesthesia (MUA) is a specialized procedure that involves the manual manipulation of the spine while the patient is under the influence of anesthesia, which can be either general anesthesia or conscious sedation. This technique is particularly beneficial for patients who are unable to tolerate traditional manual manipulation due to various factors such as significant pain response, muscle spasms, contractures, or guarding reflexes. The primary goal of MUA is to facilitate spinal manipulation in a controlled environment, allowing the physician to perform necessary adjustments without causing undue discomfort to the patient. During the procedure, the physician employs a series of specific short-level arm manipulations, passive stretching techniques, and targeted articular and postural kinesthetic integrations. These methods are designed to achieve a desired therapeutic outcome, which may include improved mobility, reduced pain, and enhanced overall function. Following the MUA procedure, patients typically engage in daily rehabilitation to support recovery and maximize the benefits of the manipulation performed.