CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 22513
Related Codes Table
| CPT Code | Description |
|---|---|
| 22514 | Arthrodesis, vertebral column, lumbar, with decompression |
| 22515 | Arthrodesis, vertebral column, lumbar, with instrumentation |
| 63047 | Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar |
| 22842 | Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation), with sublaminar wire fixation (eg, Luque technique) including removal of spinal instrumentation) |
| 22851 | Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (List separately in addition to code for primary procedure) |
Commonly Billed With
CPT code 22513 is commonly billed with CPT codes 63030 (Laminotomy [hemilaminectomy], with decompression of nerve root[s], including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc), 63047 (Laminectomy...).
Clinical Scenarios
Scenario 1: Lumbar Fusion Surgery
In this scenario, CPT code 22513 would be used for arthrodesis of the lumbar vertebral column without decompression.
Scenario 2: Revision Surgery
If a patient undergoes a revision surgery involving arthrodesis of the lumbar spine after a previous fusion procedure, CPT code 22513 would apply.
Scenario 3: Adjacent Segment Disease
When treating adjacent segment disease in the lumbar spine through arthrodesis without decompression, CPT code 22513 is appropriate.
FAQs
Q: Can CPT code 22513 be used for cervical spine fusion?
No, CPT code 22513 specifically refers to arthrodesis of the lumbar vertebral column.
Q: Is instrumentation always included in CPT code 22513?
No, instrumentation is not always included in this code and may need to be reported separately.
Q: What is the difference between CPT codes 22514 and 22513?
CPT code 22514 includes decompression along with arthrodesis of the lumbar spine while CPT code 22513 does not include decompression.
Q: Can CPT code 22513 be used for thoracic spine fusion?
No, CPT code 22513 specifically pertains to arthrodesis procedures on the lumbar spine only.
h4>Q: When should modifier -59 be used with CPT code 22513?
The -59 modifier may be necessary when reporting additional procedures that are distinct from the main arthrodesis procedure under CPT code 22513.
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