CPT® Code 22808

An anterior arthrodesis, commonly known as spinal fusion, is a surgical procedure aimed at correcting spinal deformities, such as kyphosis or scoliosis, by fusing two or more vertebral segments. This procedure is essential for stabilizing the spine and alleviating pain associated with these deformities. The surgery involves making an incision in the anterior (front) part of the body, which may be located in the neck, thoracic region, thoracoabdominal area, abdomen, retropleural space, or retroperitoneal space, depending on the specific location of the deformity. During the operation, the surgeon carefully dissects the soft tissues to expose the affected vertebrae. The vertebral segments are then prepared for fusion by roughening their surfaces to facilitate the integration of a bone graft. This graft can be obtained from the patient's own body (autogenous bone graft) or from a donor (allograft bone). The graft is strategically placed along the prepared vertebrae to promote healing and fusion. Additionally, internal fixation devices may be utilized to provide stability during the healing process. After the procedure, the surgical site is closed in layers, and a body cast may be applied if necessary to support the spine during recovery. This procedure is coded as CPT® Code 22808 for the fusion of 2 to 3 vertebral segments, while different codes are designated for fusions involving more segments.