Find policies, billing codes, payers, states, and providers
CPT 22554: Anterior Cervical Spinal Fusion
CPT code 22554 represents anterior cervical arthrodesis, a surgical spinal fusion procedure performed through an anterior neck approach to join two cervical vertebrae and relieve pain or neurologic compromise from herniated or degenerative disk disease. This code matters nationally because cervical fusion is a common, resource-intensive procedure with implications for surgical utilization, payer coverage policies, and post-acute care needs.
Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and service setting, standard payer coverage considerations, and operational benchmarks relevant to claims submission and benefit design. The publication also summarizes typical sites of service and common modifiers used with the code (listed separately), and highlights where input data was not provided.
This piece provides clinicians, billing managers, and policy analysts with the clinical context of the procedure, expected service line placement, and the national payer landscape addressed in the analysis. It is intended as a factual reference on what CPT code 22554 denotes, who the primary payers are, and what readers can expect in the full publication regarding utilization benchmarks, policy trends, and coding practice notes. Data not available in the input are noted where applicable.
Customize your policy alerts
Sign up for cpt 22554 policy alerts
Get alerted when payer policies referencing 22554 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 22554 describes anterior cervical arthrodesis (spinal fusion) of the neck, a surgical procedure to permanently join two cervical vertebrae. The surgeon makes an incision in the front of the neck to access the cervical spine, removes disk material and other compressive tissue, and stabilizes the affected segment to relieve persistent pain and neurologic symptoms caused by herniated or bulging disks or other cervical spine conditions.
-
Service type: Surgical spinal fusion of the cervical spine (anterior approach)
-
Typical site of service: Hospital operating room or ambulatory surgical center