Overview of CPT Code 22614:spinal-fusion-posterior-or-lateral-approach-single-level

Overview of CPT Code 22614:spinal-fusion-posterior-or-lateral-approach-single-level

CPT Code 22614 refers to a surgical procedure known as spinal fusion, which is performed through a posterior or lateral approach to stabilize the spine at a single level. This procedure is typically indicated for patients with spinal instability or deformity.

When CPT Code 22614 is Used?

CPT Code 22614 is appropriate in various clinical scenarios, including:

• Degenerative disc disease causing significant pain and disability.
• Spondylolisthesis leading to spinal instability.
• Spinal stenosis with associated neurological symptoms.
• Fractures of the vertebrae requiring stabilization.
• Post-laminectomy syndrome where previous surgery has not relieved symptoms.

Symptoms Indicating This Procedure

Patients may report a variety of symptoms that suggest the need for spinal fusion, including:

• Chronic back pain that does not improve with conservative treatment.
• Radiating pain into the legs or arms.
• Numbness or tingling in the extremities.
• Weakness in the legs or arms.
• Difficulty walking or maintaining balance.

Causes and Risk Factors

Several factors can contribute to the conditions that necessitate spinal fusion.

• Age-related degeneration of spinal discs.
• Trauma or injury to the spine.
• Genetic predisposition to spinal disorders.
• Obesity increasing stress on the spine.
• Occupational hazards involving heavy lifting or repetitive motion.

Diagnostic Tests Before Procedure

Before proceeding with spinal fusion, several diagnostic tests may be conducted:

• X-rays to assess spinal alignment and degeneration.
• MRI scans to visualize soft tissue and nerve involvement.
• CT scans for detailed images of the bony structures.
• Electromyography (EMG) to evaluate nerve function.
• Blood tests to rule out infections or other underlying conditions.

Procedure Description

The spinal fusion procedure typically involves the following steps:

• Anesthesia is administered to ensure the patient is comfortable.
• An incision is made in the back to access the spine.
• The affected vertebrae are prepared by removing any damaged disc material.
• Bone graft material is placed between the vertebrae to promote fusion.
• Instrumentation such as screws and rods may be used for stabilization.
• The incision is closed with sutures or staples.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for spinal fusion:

• Consult with the surgeon about medications to avoid prior to surgery.
• Arrange for transportation to and from the hospital.
• Follow dietary restrictions as advised, including fasting before surgery.
• Discuss any allergies or medical conditions with the healthcare team.
• Prepare a recovery area at home with necessary supplies.

Recovery and Aftercare

Post-operative recovery typically involves the following:

• Hospital stay of 1 to 3 days, depending on individual recovery.
• Gradual return to normal activities as advised by the surgeon.
• Pain management with prescribed medications.
• Physical therapy to aid in recovery and strengthen the back.
• Regular follow-up appointments to monitor healing.

Possible Complications

As with any surgical procedure, spinal fusion carries certain risks:

• Infection at the surgical site.
• Blood clots in the legs or lungs.
• Nerve damage leading to persistent pain or weakness.
• Non-union of the vertebrae, requiring additional surgery.
• Complications from anesthesia.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is crucial for successful recovery:

• Initial follow-up within 1 to 2 weeks post-surgery.
• Subsequent visits at 6 weeks, 3 months, and 6 months.
• Regular assessments of pain levels and mobility.
• Imaging studies to evaluate the fusion process.
• Adjustments to rehabilitation plans as needed.

Alternative Treatments

Before considering surgery, patients may explore other options:

• Physical therapy to strengthen back muscles.
• Chiropractic care for spinal alignment.
• Medications for pain relief, including NSAIDs.
• Epidural steroid injections to reduce inflammation.
• Lifestyle modifications such as weight loss and exercise.

Home Care Tips

Patients can enhance recovery with these home care tips:

• Follow the surgeon's instructions for wound care.
• Avoid heavy lifting and strenuous activities.
• Engage in gentle walking to promote circulation.
• Use ice packs to reduce swelling and discomfort.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Understanding how to prevent future issues is vital:

• Maintain a healthy weight to reduce spinal stress.
• Practice good posture to support spinal health.
• Engage in regular exercise to strengthen core muscles.
• Avoid smoking, which can impede healing.
• Stay informed about spinal health and seek early treatment for symptoms.

Billing and Coding Information

CPT Code: 22614

Category: Surgery

Common Modifiers:

• 50 - Bilateral procedure
• LT - Left side
• RT - Right side

Average Cost and Insurance Coverage

The cost of spinal fusion can vary widely:

• Average cost ranges from $30,000 to $80,000.
• Insurance may cover a significant portion if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.
• Pre-authorization may be required by some insurance providers.

Related CPT Codes

• 22551 - Injection of facet joint or sacroiliac joint
• 22612 - Spinal Fusion, Posterior or Lateral Approach, Single Level
• 22630 - Posterior Lumbar Interbody Fusion
• 22840 - Posterior spinal fusion, posterior approach, single level
• 22842 - Posterior spinal fusion, additional level