top of page

Conditions and Injuries

Common CPT codes

Shoulder

23412 - Repair of ruptured musculotendinous cuff (e.g. rotator cuff) open; chronic
23415 - Coracoacromial ligament release, with or without acromioplasty
23420 - Reconstruction of complete shoulder (rotator) cuff avulsion, chronic
23430 - Tenodesis of long tendon of biceps
23470 - Arthroplasty, glenohumeral joint; hemiarthroplasty
23472 - Total shoulder arthroplasty (replacement)
23525 - Open treatment of pectoralis major rupture
23550 - Open treatment of acromioclavicular dislocation, acute or chronic
23655 - Treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation
23675 - Distal claviculectomy including distal articular surface for severe disability
23700 - Repair of dislocation of shoulder, with glenoid or humeral fracture
23800 - Arthrodesis, glenohumeral joint
23920 - Intertubercular transfer of pectoralis major or minor tendon
29826 - Arthroscopic decompression of subacromial space with acromioplasty
29827 - Arthroscopic rotator cuff repair

Humerus/Elbow

24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary
24344 - Reconstruction lateral collateral ligament, with local tissue
24352 - Reconstruction of elbow, medial collateral ligament
24359 - Tenotomy, elbow, percutaneous release, single, each tendon
24361 - Arthroplasty, elbow; with proximal ulnar prosthetic replacement
24362 - Arthroplasty, elbow; with distal humeral prosthetic replacement
24363 - Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (e.g. total elbow)
24365 - Arthroplasty, radial head
24366 - Arthroplasty, radial head; with implant
24370 - Revision of total elbow arthroplasty
24515 - Open treatment of humeral shaft fracture with plate/screws
24516 - Treatment of humeral shaft fracture, percutaneous
24538 - Percutaneous fixation of supracondylar or transcondylar humeral fracture
24575 - Open treatment of humeral epicondylar fracture
24579 - Open treatment of humeral condyle fracture, medial or lateral
24582 - Percutaneous skeletal fixation of supracondylar humeral fracture
24586 - Open treatment of periarticular fracture of the humerus
24615 - Open treatment of acute or chronic elbow dislocation
24666 - Open treatment of radial head or neck fracture
24685 - Open treatment of olecranon fracture

Forearm/Wrist

25607 - Open treatment of distal radial extra-articular fracture or epiphyseal separation
25609 - Open treatment of distal radial intra-articular fracture or epiphyseal separation
25622 - Open treatment of carpal lunate dislocation
25624 - Open treatment of carpal scaphoid fracture
25628 - Open treatment of carpal navicular fracture
25651 - Percutaneous skeletal fixation of ulnar styloid fracture
25652 - Open treatment of ulnar styloid fracture
25670 - Open treatment of radial styloid fracture
25676 - Open treatment of radiocarpal or intercarpal dislocation, one or more bones
25680 - Open treatment of trans-scaphoperilunar type of fracture dislocation
25690 - Open treatment of lunate dislocation, with or without fracture
25575 - Open treatment of radial and ulnar shaft fractures with internal fixation
25800 - Arthrodesis, wrist; complete, without bone graft
25805 - Arthrodesis, wrist; with sliding graft
25810 - Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)
25820 - Arthrodesis, wrist; limited, without bone graft
25825 - Arthrodesis, wrist; with autograft (includes obtaining graft)
25828 - Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)
25830 - Arthrodesis, distal radioulnar joint with segmental resection of ulna

29848 - Endoscopic Carpal Tunnel Release
64721 - Carpal tunnel release (median nerve decompression)

Hand/Fingers

26011 - Drainage of finger abscess, complicated
26020 - Drainage of tendon sheath, one digit and/or palm
26055 - Tendon sheath incision for trigger finger
26121 - Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement
26123 - Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint
26125 - Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with proximal release
26140 - Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint
26145 - Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger
26160 - Lunotriquetral fusion
26170 - Carpal fusion without bone graft
26180 - Carpal fusion or carpometacarpal fusion with autograft
26185 - Carpectomy for mulifacted non-union of carpus
26230 - Radial styloidectomy
26235 - Reconstruction of supplemental digital flexor tendon
26350 - Repair or reconstruction of finger volar plate
26352 - Repair or reconstruction of finger volar plate with graft
26356 - Repair or reconstruction of finger extensor tendon
26370 - Profundus tendon repair or graft, with free graft
26372 - Profundus tendon repair or graft, with tendon prosthetic
26373 - Repair of finger flexor tendon, distal zone

Cervical Spine

22551 - Anterior cervical arthrodesis (fusion), two levels
22554 - Anterior cervical arthrodesis (fusion), three or more levels
22612 - Lumbar spine fusion, posterior/posterolateral technique, single level
22840 - Posterior non-segmental instrumentation (eg, Harrington rod technique)
22842 - Posterior segmental instrumentation (eg, pedicle fixation, 3 or fewer vertebral segments)
22843 - Posterior segmental instrumentation, 4 to 7 vertebral segments
22844 - Posterior segmental instrumentation, 8 or more vertebral segments
22845 - Anterior instrumentation; 4-7 vertebral segments
22846 - Anterior instrumentation; 8 or more vertebral segments
22849 - Reinsertion of spinal fixation device
22853 - Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring
22854 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, each additional level
22856 - Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace, cervical
22858 - Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace, second level, cervical
22861 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, cervical
22864 - Removal of total disc arthroplasty (artificial disc), anterior approach, cervical
63020 - Laminotomy (hemilaminectomy), with decompression of nerve root(s)
63030 - Laminotomy (decompression)
63035 - Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy
63042 - Laminotomy (hemilaminectomy), with decompression of nerve root(s), reexploration, cervical

Thoracic Spine

22612 - Lumbar spine fusion, posterior/posterolateral technique, single level
22614 - Lumbar spine fusion, posterior/posterolateral technique, each additional level
22630 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single level
22632 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace
22633 - Lumbar spine fusion, combined with decompression, single level
22634 - Lumbar spine fusion, combined with decompression, each additional level
22800 - Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
22802 - Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
22804 - Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
22808 - Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments
22810 - Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments
22812 - Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments
22840 - Posterior non-segmental instrumentation (eg, Harrington rod technique)
22842 - Posterior segmental instrumentation (eg, pedicle fixation, 3 or fewer vertebral segments)
22843 - Posterior segmental instrumentation, 4 to 7 vertebral segments
22844 - Posterior segmental instrumentation, 8 or more vertebral segments
22849 - Reinsertion of spinal fixation device
22853 - Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring
22854 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, each additional level
22859 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar

Lumbar Spine

22612 - Lumbar spine fusion, posterior/posterolateral technique, single level
22614 - Lumbar spine fusion, posterior/posterolateral technique, each additional level
22630 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single level
22632 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace
22633 - Lumbar spine fusion, combined with decompression, single level
22634 - Lumbar spine fusion, combined with decompression, each additional level
22857 - Total disc arthroplasty (artificial disc), anterior approach, lumbar
22859 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar
22862 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar, each additional level
22865 - Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar
22867 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, lumbar
63030 - Laminotomy (decompression)
63047 - Laminectomy, facetectomy and foraminotomy, single vertebral segment
63048 - Laminectomy, facetectomy and foraminotomy, each additional segment
63056 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment
63057 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), each additional segment

Hip

27130 - Total hip arthroplasty (replacement)
27236 - Open treatment of hip dislocation
27137 - Revision of total hip arthroplasty
27132 - Conversion of previous hip surgery to total hip arthroplasty
27134 - Revision of total hip arthroplasty; both components
27238 - Open treatment of femoral fracture, proximal end, neck
27235 - Percutaneous skeletal fixation of femoral fracture, proximal end, neck
27179 - Open treatment of slipped femoral epiphysis
27187 - Prophylactic treatment of slipped femoral epiphysis
27122 - Acetabuloplasty; resection, femoral head
27125 - Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
27140 - Curette or core decompression of bone
27165 - Osteotomy and transfer of greater trochanter
27170 - Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area

Thigh/Knee

27447 - Total knee arthroplasty (replacement)
27506 - Open treatment of femoral shaft fracture
29881 - Arthroscopic knee surgery with meniscectomy
27446 - Revision of total knee arthroplasty
27438 - Arthroplasty, patella; with prosthesis
27445 - Arthroplasty, knee, constrained, condyle and plateau
27487 - Revision of total knee arthroplasty, femoral and entire tibial component
27557 - Knee arthrodesis
27599 - Unlisted procedure, femur or knee
27570 - Manipulation of knee joint under general anesthesia
27405 - Repair, primary, torn ligament and/or capsule, knee
27427 - Reconstruction, knee, circumferential, with or without implant
27548 - Injection of contrast for knee arthrotomy/surgery
29888 - Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
29889 - Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction
29880 - Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)

Lower Leg/Ankle

27792 - Open treatment of bimalleolar ankle fracture
27766 - Open treatment of medial malleolus fracture
27769 - Open treatment of ankle fracture, with or without internal or external fixation
27786 - Open treatment of fibula fracture, proximal to ankle
27784 - Open treatment of fibula fracture, distal to ankle
27822 - Open treatment of trimalleolar ankle fracture
27816 - Arthrodesis, ankle joint
27823 - Open treatment of trimalleolar ankle fracture, with or without fixation
27828 - Arthrodesis, ankle, with joint preparation and internal fixation
27829 - Arthrodesis, ankle, with joint preparation and external fixation
27830 - Reconstruction of distal tibiofibular joint
27835 - Reconstruction, ankle joint
27840 - Reconstruction Achilles tendon
27842 - Reconstruction of Achilles tendon with graft
27846 - Excision of tendon sheath, ankle region
27848 - Excision of tendon, ankle region

Foot/Toes

28292 - Hallux valgus repair with metatarsal osteotomy
28285 - Repair of hammertoe with metatarsal osteotomy
28289 - Repair hallux valgus with resection of metatarsal head
28293 - Repair of hallux valgus with resection of joint and internal fixation
28299 - Unlisted procedure, foot or toes
28298 - Intramedullary fixation of foot fracture
28296 - Correction of bunion with osteotomy
28297 - Lapidus bunionectomy
28290 - Correction of bunion with sesamoidectomy
28294 - Removal of sesamoid bone
28295 - Removal of sesamoid bone with implant
28288 - Ostectomy of tarsal or metatarsal bone
28286 - Claw toe repair with metatarsal osteotomy
28280 - Webbing operation (create or increase web space) with bone removal
28279 - Talus osteotomy; with autograft
28278 - Talus osteotomy; with autograft, each additional bone graft
28270 - Bunionectomy with stress fracture/osteotomy treatment
28272 - Bunionectomy with sesamoidectomy
28275 - Arthrodesis, flat foot (triple arthrodesis)
28274 - Arthrodesis, flat foot (triple arthrodesis) with autograft

bottom of page