CPT® Code 22819

Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments

The procedure described by CPT® Code 22819 refers to a kyphectomy, which is a surgical intervention aimed at correcting kyphosis, a condition characterized by an abnormal outward curvature of the spine that results in a humped back appearance. This procedure involves the circumferential exposure of the spine, allowing the surgeon to access and resect, or remove, multiple vertebral segments that are damaged or deformed. Specifically, this code applies when three or more vertebral segments are involved in the procedure. During the kyphectomy, the surgeon not only removes the affected vertebrae but also addresses both the body and the posterior elements of the vertebrae, which may include the spinous processes and laminae. To stabilize the spine and restore its normal alignment, the surgeon typically employs bone grafts along with metal rods and wires. This comprehensive approach is essential for correcting the deformity and ensuring proper spinal function post-surgery. It is important to note that if only one or two vertebral segments are affected, CPT® Code 22818 should be used instead.