CPT® Codes for Anterior Cervical Fusion: Quick Reference Guide

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CPT® Codes for Anterior Cervical Fusion: Quick Reference Guide

The following CPT® codes describe anterior cervical interbody fusion procedures. Always verify with the latest CPT® codebook and payer policies, as bundling rules and modifier requirements vary.

Primary Fusion Codes

CPT® Code	Description	Key Notes
22551	Arthrodesis, anterior interbody, including discectomy; cervical, single level without instrumentation	Stand-alone interbody device (e.g., PEEK cage) or structural allograft only.
22553	Arthrodesis, anterior interbody, including discectomy; cervical, single level with instrumentation (plate/screws)	Includes allograft or autograft inlay device (cage).
22554	Arthrodesis, anterior interbody, including discectomy; cervical, each additional level (List separately in addition to primary code)	Use with 22551 or 22553 for multi-level fusions.

Decompression-Only Codes (Often Bundled)

CPT® Code	Description
22590	Decompression, cervical spine (laminectomy, foraminotomy, facetectomy, osteophytectomy); single level
22592	Decompression, cervical spine; each additional level (List separately)

Coding Tips

Report 22554 for each additional vertebral level beyond the first.
Do not separately report decompression (22590/22592) when performed at the same level as an anterior fusion; it is considered inclusive.
Use modifier -62 if two surgeons act as co-surgeons (each performing a distinct part).
Documentation must specify: approach (anterior), levels, discectomy, graft type, and instrumentation.

Accurate coding ensures appropriate reimbursement and compliance with NCCI edits.