Article Figures & Data
Figures
- Fig. 1
Results of Regression Analysis to Estimate Work RVU of CPT® 27279
- Fig. 2
Results of Regression Analysis to Estimate RVUs of CPT® 27279.
Tables
CPT® Code Description WorkRVUs* 22015 Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral 12.64 22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 17.69 27280 Arthrodesis, sacroiliac joint (including obtaining graft), open 14.64 62287 Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural in-jection(s) at the treated level(s), when performed, single or multiple levels, lumbar 9.03 62292 Injection procedure for chemonucleosis, including discography, intervertebral disc, single or multiple levels, lumbar 9.24 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar 13.18 63620 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator), 1 spinal lesion 15.60 63655 Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural 10.92 63662 Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed 11.00 63663 Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed 7.75 27279 Sacroiliac joint stabilization for arthrodesis, percutaneous or minimally invasive (indirect visualization), with image guidance including bone graft when performed, and placement of transfixing device (short descriptor: Arthrodesis, sacroiliac joint) 9.03** CPT® Code Description Work RVUs* 21556 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (e.g., intramuscular); less than 5 cm 7.66 21932 Excision, tumor, soft tissue of back or flank, subfascial (e.g., intramuscular); less than 5 cm 9.82 22015 Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral 12.64 22100 partial excision of posterior vertebral column (e.g. spinous process, lamina, facet) for intrinsic bony lesion, single vertebral segment, cervical 11.00 22101 partial excision of posterior vertebral column (e.g. spinous process, lamina, facet) for intrinsic bony lesion, single vertebral segment, thoracic 11.08 22102 partial excision of posterior vertebral column (e.g. spinous process, lamina, facet) for intrinsic bony lesion, single vertebral segment, lumbar 11.08 22315 closed treatment of vertebral fracture and or dislocation requiring casting or bracing, with and including casting and or bracing by manipulation or traction 10.11 22510 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic 8.15 22511 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral 7.58 22513 Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic 8.90 22514 Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar 8.24 22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 17.69 27048 Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); less than 5 cm 21.55 27050 Arthrotomy, with biopsy; sacroiliac joint 4.74 27052 Arthrotomy, with biopsy; hip joint 7.42 27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint, and/or sacrum 15.73 27235 Percutaneous skeletal fixation of femoral fracture, proximal end, neck 13.00 27280 Arthrodesis, sacroiliac joint (including obtaining graft), open 14.64 62287 Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar 9.03 62292 Injection procedure for chemonucleosis, including discography, intervertebral disc, single or multiple levels, lumbar 9.24 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar 13.18 63075 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy, cervical, single interspace 19.60 63620 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator), 1 spinal lesion 15.60 63650 Percutaneous implantation of neurostimulator electrode array, epidural 7.15 63655 Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural 10.92 63662 Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed 11.00 63663 Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed 7.75 27279 Sacroiliac joint stabilization for arthrodesis, percutaneous or minimally invasive (indirect visualization), with image guidance including bone graft when performed, and placement of transfixing device (short descriptor: Arthrodesis, sacroiliac joint) 9.03** CPT® Code Description Difficulty Score 22015 Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral -1.55808 22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 0.00000 27280 Arthrodesis, sacroiliac joint (including obtaining graft), open 0.65616 62287 Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar -1.55808 62292 Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral -1.94415 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar -1.19898 63620 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator), 1 spinal lesion -0.69098 63655 Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural -0.44980 63662 Removal of spinal neurostimulator electrode plate/pad-dle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed -1.23454 63663 Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed -0.90799 27279 Sacroiliac joint stabilization for arthrodesis, percutaneous or minimally invasive (indirect visualization), with image guidance including bone graft when performed, and placement of transfixing device (short descriptor: Arthrodesis, sacroiliac joint) 0.0000* ↵* Assigned for comparative purposes.
Specialty Number Percent Neurosurgery 9 26% Orthopedics 9 26% Spine Surgery 16 47% TOTAL 34 100% CPT® Code Percent Responding that CPT® 27279 is * Difficulty Score Description EQUAL Work LESS Work MORE Work Do Not Perform Comparative Procedure 21556 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (e.g., intramuscular); less than 5 cm 8.8% 2.9% 65% 24% -3.77698 21932 Excision, tumor, soft tissue of back or flank, subfascial (e.g., intramuscular); less than 5 cm 12% 2.9% 68% 18% -3.85504 22015 Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral 2.9% 2.9% 91% 2.9% -4.11477 22100 partial excision of posterior vertebral column (e.g. spinous process, lamina, facet) for intrinsic bony lesion, single vertebral segment, cervical 18% 24% 50% 8.8% -0.98816 22101 partial excision of posterior vertebral column (e.g. spinous process, lamina, facet) for intrinsic bony lesion, single vertebral segment, thoracic 24% 21% 50% 5.9% -1.03313 22102 partial excision of posterior vertebral column (e.g. spinous process, lamina, facet) for intrinsic bony lesion, single vertebral segment, lumbar 24% 21% 50% 5.9% -1.03313 22315 closed treatment of vertebral fracture and or dislocation requiring casting or bracing, with and including casting and or bracing by manipulation or traction 5.9% 2.9% 88% 2.9% -5.36145 22510 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic 8.8% 2.9% 85% 2.9% -3.35257 22511 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral 5.9% 2.9% 91% 0% -4.11477 22513 Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic 12% 2.9% 85% 0% -3.38954 22514 Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar 8.8% 5.9% 85% 0% -2.50677 22554 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 38% 38% 18% 5.9% 0.80289 27048 Excision, tumor, soft tissue of pelvis and hip area, subfascial (e.g., intramuscular); less than 5 cm 5.9% 8.8% 53% 32% -1.78938 27050 Arthrotomy, with biopsy; sacroiliac joint 8.8% 8.8% 59% 24% -2.71452 27052 Arthrotomy, with biopsy; hip joint 5.9% 12% 44% 38% -1.84758 27216 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint, and/or sacrum 21% 35% 35% -1.90267 27235 Percutaneous skeletal fixation of femoral fracture, proximal end, neck 18% 2.9% 38% 41% -1.63564 27280 Arthrodesis, sacroiliac joint (including obtaining graft), open 21% 50% 18% 12% 1.60055 62287 Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar 15% 8.8% 62% 15% -2.30662 62292 Injection procedure for chemonucleosis, including discography, intervertebral disc, single or multiple levels, lumbar 0% 12% 62% 26% -2.32848 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar 38% 21% 38% 2.9% -0.67092 63075 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy, cervical, single interspace 38% 35% 21% 5.9% 0.25978 63620 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator), 1 spinal lesion 2.9% 8.8% 21% 68% -1.87111 63650 Percutaneous implantation of neurostimulator electrode array, epidural 12% 5.9% 53% 29% -2.60639 63655 Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural 18% 15% 44% 14% -1.71518 63662 Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed 12% 5.9% 68% 15% -3.33569 63663 Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed 15% 21% 44% 21% -1.19609 27279 Sacroiliac joint stabilization for arthrodesis, percutaneous or minimally invasive (indirect visualization), with image guidance including bone graft when performed, and placement of transfixing device (short descriptor: Arthrodesis, sacroiliac joint) NA NA NA NA 0.0000** Variable Coefficient in Points per Minute Coefficient in Points per Hour P-value Constant (baseline point value) 1.00 (not per minute) 1.00 (not per hour) 0.68 (NS) Pre-service evaluation .1390 8.34 .04 Intra-operative service .0704 4.22 .02 Office Visit .0570 3.42 .03
In this issue
Jump to section
Related Articles
Cited By...
- Key Takeaways From the ISASS Webinar Series on Current and Emerging Techniques in Endoscopic Spine Surgery | Part 2: Polytomous Rasch Analysis of Learning Curve and Surgeon Endorsement of Biportal, Interlaminar, and Transforaminal Endoscopic Stenosis Decompression, Discectomy, and Laminectomy in Combination With Interspinous Process Spacers
- Key Takeaways From ISASS Webinar Series on Endoscopic Spine Surgery Techniques | Part 4: Advancing the Curve on Surgeons Experience With Complex Lumbar Revision Scenarios, Grades 1 to 3 Spondylolytic Spondylolisthesis, Cervical Foraminotomy, and Cervical Spondylotic Myelopathy
- Insights From the ISASS Webinar Series on Current and Emerging Techniques in Endoscopic Spine Surgery | Part 1: Polytomous Rasch Analysis of Surgeon Endorsement of Endoscopic Discectomy/Foraminotomy, Interbody Fusion, and Importance of Patient Feedback During Surgery
- Insights From ISASS Webinar Series on Current and Emerging Techniques in Endoscopic Spine Surgery | Part 3: A Polytomous Rasch Analysis on Surgeons Endorsement of Multiportal Access, Treatment of Lumbar Facet Cyst, Grade I Spondylolisthesis, and Interbody Fusion
- Insights on High-Value Procedures From the ISASS 4-Part Webinar Series on Current and Emerging Techniques in Endoscopic Spine Surgery Based on Surgeon Experience
- Polytomous Rasch Analyses of Surgeons Decision-Making on Choice of Procedure in Endoscopic Lumbar Spinal Stenosis Decompression Surgeries
- Paired Comparison Survey Analysis Utilizing Rasch Methodology of the Relative Difficulty and Estimated Work Relative Value Units of CPT Code 0202T
- Comparative Analysis of Learning Curve, Complexity, Psychological Stress, and Work Relative Value Units for CPT 62380 Endoscopic Lumbar Spinal Decompression vs Traditional Lumbar Spine Surgeries: A Paired Rasch Survey Study
- International Society for the Advancement of Spine Surgery Policy 2020 Update--Minimally Invasive Surgical Sacroiliac Joint Fusion (for Chronic Sacroiliac Joint Pain): Coverage Indications, Limitations, and Medical Necessity