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CPT 22210: Cervical Vertebral Wedge Osteotomy for Spinal Realignment
CPT code 22210 denotes a surgical cervical osteotomy in which a wedge of bone is removed from a vertebra to correct abnormal curvature of the neck. This is a specialized spinal realignment procedure with implications for functional outcomes, complication risk, and perioperative resource use at a national level. It is clinically significant for patients with rigid cervical deformities, post-traumatic malalignment, or progressive deforming conditions that compromise neurologic function or quality of life.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and the service type. The publication outlines benchmarking and coverage considerations commonly encountered across major payers, highlights clinical factors that affect coding and billing, and summarizes areas where policy updates or utilization management practices commonly influence authorization and payment. Content is intended to help coding professionals, clinical administrators, and policy analysts understand where this code fits within surgical spine care and payer interactions.
Data not available in the input for specific payer policies, utilization rates, ICD-10 pairings, and related codes; those elements are noted as unavailable where applicable.
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Billing Code Overview
CPT code 22210 describes an operative procedure in which the surgeon incises a cervical vertebra in three locations and removes a wedge of bone to change the alignment of the spinal column. The intent of the procedure is to correct an abnormal curvature in the cervical spine (neck) by realigning vertebral anatomy through bone resection.
Service type: Surgical — spinal osteotomy/realignment of the cervical spine
Typical site of service: Inpatient or ambulatory surgical center, operating room
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