For 2024, there are several CPT Category I and Category III code changes specific to spine care, which are addressed in detail below. Underlined type indicates text added to code; red type indicates text removed from code.

Category I Code Changes

There are three new codes for reporting vertebral tethering.

22836: Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments

22837: Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments

22838: Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed

Code 27278 has been added to report dorsal SI fusion.

27278: Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without placement of transfixation device

Neurostimulation codes 63685 and 63688 have been revised as follows:

63685: Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or indirect coupling requiring pocket creation and connection between electrode array and pulse generator or receiver)

63688: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array)

Category III Code Changes

Along with the new vertebral tethering codes addressed above, the existing Category III codes for the procedure have been modified as indicated below:

0656T: Anterior lumbar or thoracolumbar Vvertebral body tethering, anterior; up to 7 vertebral segments

0657T: Anterior lumbar or thoracolumbar Vvertebral body tethering, anterior; 8 or more vertebral segments

The following Category III codes have been deleted.

0775T: Arthrodesis, sacroiliac joint, percutaneous, with image guidance, includes placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]) (Do not report 0775T in conjunction with 27279, 27280) (For percutaneous arthrodesis, sacroiliac joint, with transfixation device, use 27279) (For removal or replacement of sacroiliac intra-articular implant[s], use 27299) (For bilateral procedure, report 0775T with modifier 50)

0809T: Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, placement of transfixing device(s) and intra-articular implant(s) including allograft or synthetic device(s)

G2211 - Complexity Add-On Code

For 2024, CMS has added CPT code G2211 as an add-on code to office and outpatient services reported by existing codes 99202-99215. Code G2211 may not be added on to a code reported with a -25 modifier.

G2211: Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition a complex condition. (Add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)

NASS continues to represent its members through participation in the AMA CPT Editorial Panel and RUC process to support the most accurate reporting of and reimbursement for spine procedures and services as well as through advocacy with federal regulatory agencies. The NASS Coding Committee is open to input and comments from members regarding coding and regulatory questions and issues. Please contact us via coding@spine.org.