Surgical CPT codes

Percutaneous vertebral augmentation of one lumbar vertebral body using a mechanical device (e.g., kyphoplasty), including cavity creation, unilateral or bilateral cannulation, and all imaging guidance. Fracture reduction and bone biopsy are included when performed.

Percutaneous vertebral augmentation of a single thoracic vertebral body, including cavity creation via mechanical device (e.g., balloon kyphoplasty), with imaging guidance included.

Percutaneous cryoablation of one or more bone tumors, including destruction of adjacent soft tissue involved by tumor extension, with imaging guidance bundled into the code when performed.

Bone graft to the mandible, including harvest of the graft from a donor site by the operating surgeon.

Augmentation of the mandible using a bone graft, typically to build up deficient jaw volume for reconstructive purposes.

Reconstruction of the midface (Le Fort III level) with advancement using an internal distraction device — a high-complexity craniofacial procedure performed for severe midface hypoplasia or retrusion.

Radical resection of a pelvic or hip tumor involving the ilium with acetabulum, both pubic rami, or the ischium with acetabulum — removing the tumor plus a margin of surrounding healthy bone and tissue.

Reconstruction of the midface using a Le Fort III advancement combined with a distraction osteogenesis device, performed without simultaneous intracranial surgery.

Impression-taking and custom fabrication of an orbital prosthesis to restore the eye socket following enucleation or exenteration.

Periorbital osteotomies for orbital hypertelorism using a combined intra- and extracranial approach, with bone grafts to reposition the orbits and fill bony defects.

Reconstruction of the orbital walls, rims, forehead, and nasoethmoid complex after intra- and extracranial excision of a benign cranial bone tumor, using multiple autografts with a total bone-graft area exceeding 80 square centimeters — graft harvesting is included.

Reconstruction of the superior-lateral orbital rim and lower forehead, with advancement or repositioning, including autograft harvest when performed.

Removal of a previously implanted single-level cervical total disc arthroplasty device at one interspace.

Periorbital osteotomies for orbital hypertelorism with forehead advancement and bone grafts, using a combined intra- and extracranial approach.

Reconstruction of orbital walls, rims, forehead, and nasoethmoid complex after intra- and extracranial excision of a benign cranial bone tumor, using multiple autografts, where the total bone graft area falls between 40 and 80 square centimeters.

Electrocorticography performed directly on exposed cortical tissue during an open cranial surgical procedure to map brain function or localize seizure foci.

Bifrontal reconstruction of the superior-lateral orbital rims and lower forehead, with or without bone grafts including autograft harvest, for conditions such as plagiocephaly, trigonocephaly, or brachycephaly.

Reconstruction of the midface using a modified LeFort III osteotomy with internal fixation, repositioning the midface skeleton to correct severe craniofacial deformities.

Reconstruction of orbital walls, rims, forehead, and nasoethmoid complex after intra- and extracranial excision of a benign cranial bone tumor, using multiple autografts (graft harvest included); total bone graft area under 40 square centimeters.

Partial or complete resection of a lumbar vertebral body via a lateral extracavitary approach, performed to decompress the spinal cord and/or nerve roots — typically for tumor, infection, or retropulsed bone fragments.

Unilateral orbital repositioning via periorbital osteotomies with bone grafting to correct eye socket position from trauma or congenital deformity.

Surgical bone grafting to the nasal, maxillary (upper jaw), or malar (cheek) areas, including harvest of the graft when autogenous bone is used.

Percutaneous vertebroplasty of one cervicothoracic vertebral body, including cavity creation, fracture reduction, and bone biopsy when performed — all under imaging guidance.

Tibial osteotomy performed using an intramedullary lengthening device to correct deformity or leg length discrepancy

Femoral osteotomy performed with insertion and management of an externally controlled intramedullary lengthening device for limb-length discrepancy correction.

Impression-taking and laboratory fabrication of a definitive obturator prosthesis for palatal or maxillary defects, including all custom preparation steps.

Extracranial LeFort III midface reconstruction requiring bone grafts, performed without a simultaneous LeFort I osteotomy.

Surgical augmentation of one or more facial bones using an autograft, allograft, or prosthetic implant to build up deficient bony contours.

Impression and custom fabrication of an external nasal prosthesis for a patient with partial or total nasal absence due to ablative surgery, trauma, or congenital defect.

Impression and custom preparation of a custom auricular (ear) prosthesis to replace a partially or totally absent external ear.

Impression and custom fabrication of a removable speech aid prosthesis that addresses soft palate defects by extending into the throat to separate the oropharynx and nasopharynx during speech and swallowing.

Impression-taking and custom fabrication of a mandibular resection prosthesis used to restore jaw form and function after surgical resection of the mandible.

Cervical laminoplasty with spinal cord decompression across two or more vertebral segments, including posterior bony element reconstruction with bridging bone graft and non-segmental fixation devices such as wire, suture, or mini-plates.

Midface reconstruction via LeFort II osteotomy, movement in any direction, with bone grafting including autograft harvest

LeFort I osteotomy with segmentation into three or more pieces, repositioned in any direction, with bone grafting including autograft harvest

Impression and custom preparation of an interim obturator prosthesis — a temporary device fabricated to close the maxillary defect created after partial or total maxillectomy.

Biopsy or excision of a lesion in the lumbar spine performed via laminectomy approach, accessing an extradural target.

Impression and custom preparation of a palatal augmentation prosthesis to reshape the hard palate and improve tongue-palate contact for speech and swallowing.

Reconstruction of the entire forehead using bone graft harvested from the patient's own body (autograft), performed to correct severe deformity from trauma, congenital anomaly, or disease.

Anterior approach osteotomy of a single lumbar vertebral segment, including discectomy, to correct spinal deformity or severe sagittal imbalance.

Unilateral orbital repositioning via periorbital osteotomies with bone grafting, performed through an extracranial approach only — no intracranial entry.

Hindquarter amputation removing the entire lower extremity and the ipsilateral half of the pelvis through the sacroiliac joint and pubic symphysis.

LeFort I midface reconstruction split into two segments, moved in any direction, with bone grafts obtained at the same operative session — the classic approach for ungrafted unilateral alveolar clefts.

Cervical laminectomy spanning more than two vertebral segments for spinal cord or cauda equina exploration and/or decompression, performed without facetectomy, foraminotomy, or discectomy.

Midface reconstruction using osteotomies that are not LeFort-type, with bone grafting including harvesting of autograft bone.

Iliac, acetabular, or innominate bone osteotomy performed in conjunction with a femoral osteotomy to correct hip joint alignment.

Reconstruction of the mandibular condyle using bone and cartilage harvested from the patient's own body, including autograft harvest, typically performed for congenital jaw deformity such as hemifacial microsomia.

Reconstruction of the midface via a modified Le Fort II osteotomy pattern that advances the nasal-orbital complex anteriorly without mobilizing the zygoma.

Impression-taking and in-office fabrication of a custom palatal lift prosthesis to elevate a dysfunctional soft palate.

Lumbar spinal cord and nerve root decompression via transpedicular approach, single segment, including transfacet or lateral extraforaminal variants for far lateral disc herniations.

Complete reconstruction of the mandible or maxilla using an endosteal implant (blade or cylinder type) placed within the jawbone

Radical resection of a tumor involving the distal or shaft portion of the humerus, with or without allograft reconstruction.

LeFort I single-piece maxillary osteotomy performed with bone grafting to reposition the upper jaw and correct midface skeletal deformity.

Surgical lengthening of the femur (thigh bone) via osteoplasty, typically using osteodistraction to gradually separate bone segments and stimulate new bone formation across the gap.

Surgical osteoplasty of both the tibia and fibula to correct leg length discrepancy, either by lengthening or shortening the bones.

Reconstruction of the entire or majority of the forehead and/or supraorbital rims using allograft or prosthetic material (not autograft).

Osteotomy of the iliac, acetabular, or innominate bone performed with open reduction of the hip joint to correct dislocation and restore normal alignment.

Laminectomy-based removal of an extradural lesion located in the lumbar spine, accessing the intraspinal space by resecting the posterior bony arch.

Open surgical removal of a malignant tumor from the maxilla (upper jaw) or zygoma (cheekbone), using either an intraoral or extraoral approach.

Surgical shortening of the femur by removing a bone segment and stabilizing the remaining ends — performed to correct leg length discrepancy or malunion.