CPT Code 11008: Mesh removal, add-on rules and billing guide
CPT code 11008 covers removal of prosthetic material or mesh from the abdominal wall when infection forces it out. It is an add-on code, so it never appears on a claim by itself. The primary code it travels with decides whether the claim gets paid. The official AMA CPT code set gives 11008 this descriptor. […]
CPT code 22318: Odontoid fracture surgery, RVUs, and fee schedule
CPT code 22318 covers open treatment or reduction of an odontoid fracture through an anterior approach, with internal fixation and no bone graft. It also covers odontoid dislocation and os odontoideum treated the same way. Odontoid fractures make up 10% to 20% of cervical spine fractures in adults, according to StatPearls. Its neighbor, CPT 22319, […]
CPT code 22224: Lumbar spinal osteotomy billing guide
According to the American Medical Association’s CPT code set, CPT code 22224 describes: Osteotomy of spine including discectomy, anterior approach, single vertebral segment; lumbar. The code covers removal of a section of vertebral bone and the disc tissue beside it. The surgeon then realigns the lumbar spine through an anterior, or front, incision. It is […]
CPT code 22102: Partial excision of posterior vertebral component, lumbar
CPT code 22102 covers partial excision of a posterior vertebral component for an intrinsic bony lesion at one lumbar segment. It sits under Excision Procedures on the Spine in the AMA CPT code set. The official descriptor reads: Partial excision of posterior vertebral component (e.g., spinous process, lamina or facet) for intrinsic bony lesion, single […]
CPT code 22527: Percutaneous intradiscal electrothermal annuloplasty
CPT code 22527 is the add-on code for percutaneous intradiscal electrothermal annuloplasty at one or more additional spinal levels. Heat is delivered to the disc annulus through a thermal catheter or electrode, under fluoroscopic guidance. Spine, pain, and sports medicine practices report it alongside primary code CPT 22526. One fact shapes every claim built on […]
CPT code 22510: Percutaneous vertebroplasty billing guide
CPT code 22510 is the billing code for percutaneous vertebroplasty of the cervical or thoracic spine. It reports one vertebral body, treated by unilateral or bilateral injection. All imaging guidance is priced into the code, and each additional level is reported with add-on code 22512. The code is maintained by the American Medical Association (AMA) […]
CPT code 21267: Orbital repositioning with bone grafts
CPT 21267 covers unilateral orbital repositioning with bone grafts, about $1,467 in 2026. The surgical approach separates it from 21268.
CPT code 19020: Mastotomy with exploration or drainage of abscess
CPT code 19020 covers mastotomy with exploration or drainage of a deep breast abscess. The surgeon opens the breast, works through the tissue, and drains a collection that antibiotics could not clear. Two words in the descriptor decide whether the claim pays. The first is deep, the second is exploration. When the operative note skips […]
CPT Code 21195: Mandibular reconstruction, sagittal split
CPT Code 21195 covers reconstruction of the mandibular rami and/or body by sagittal split osteotomy, performed without internal rigid fixation. Oral and maxillofacial surgeons report it when wire or intermaxillary fixation holds the repositioned jaw, rather than plates and screws. Denials on this code cluster around three problems. Prior authorization is missing, the diagnosis code […]
CPT Code 21235: Ear cartilage graft billing guide
CPT 21235 covers autogenous ear cartilage grafts. Expect a 90-day global period, 22.07 total RVUs, and bundling with tympanoplasty.