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CPT 22800: Spinal Fusion (Arthrodesis) up to Six Vertebral Segments
CPT code 22800 represents a surgical spinal fusion (arthrodesis) performed to secure vertebrae and alleviate persistent pain from spinal deformities such as scoliosis or kyphosis. The code applies to procedures on up to six vertebral segments and may include use of a body cast. This code is nationally relevant because spinal fusion is a commonly billed major orthopedic and neurosurgical procedure with implications for inpatient and outpatient surgical capacity, payer reimbursement, and quality measurement.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for CPT code 22800, coverage and billing considerations across major payers, and benchmarking information where available. The publication outlines typical sites of service, common clinical indications, and procedural scope, and it highlights areas where policy updates or payer rules commonly affect claim adjudication and coding specificity.
This executive summary prepares clinicians, coding professionals, and policy analysts to understand how CPT code 22800 is used in practice, what operational settings are typical, and which payers are central to national coverage and reimbursement discussions. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 22800 describes an arthrodesis (spinal fusion) procedure in which the provider fuses vertebrae to one another to treat persistent pain from spinal deformities such as scoliosis or kyphosis. The procedure may be performed on up to six vertebral segments and can include application of a body cast when clinically indicated.
Service type: Surgical — Spinal fusion/arthrodesis
Typical site of service: Hospital inpatient or outpatient surgical center, depending on clinical complexity and duration of stay.