Issue link: https://beckershealthcare.uberflip.com/i/1293457
74 ORTHOPEDICS 67 spine surgeries CMS may remove from the inpatient-only list in 2021 By Laura Dyrda CMS released the 2021 proposed payment rule for hospital outpa- tient departments and ASCs on Aug. 4. e agency proposed removing 300 musculoskeletal procedure codes from the inpatient-only list over a three-year period, including 67 spine codes for 2021. Below are the spine procedures CMS may remove from the inpatient- only list next year. 1. Removal of total disc arthroplasty (artificial disc), anterior ap- proach, each additional interspace, cervical (list separately in addi- tion to code for primary procedure): 0095T 2. Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure): 0095T 3. Total disc arthroplasty (artificial disc), anterior approach, includ- ing discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (list separately in addition to code for primary procedure): 0163T 4. Removal of total disc arthroplasty, (artificial disc), anterior ap- proach, each additional interspace, lumbar (list separately in addition to code for primary procedure): 0163T 5. Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure): 0165T 6. Posterior vertebral joint(s) arthroplasty (for example, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when per- formed, including fluoroscopy, single level, lumbar spine: 0202T 7. Placement of a posterior intrafacet implant(s), unilateral or bilat- eral, including imaging and placement of bone gra(s) or synthetic device(s), single level; cervical: 0219T 8. Placement of a posterior intrafacet implant(s), unilateral or bilat- eral, including imaging and placement of bone gra(s) or synthetic device(s), single level; thoracic: 0219T 9. Application of halo, including removal; cranial: 20661 10. Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (for example, pediatric patients, hydrocephalus, osteogenesis imperfecta): 20664 11. Incision and drainage, open, of deep abscess (subfascial), poste- rior spine; lumbar, sacral, or lumbosacral: 22015 12. Partial excision of vertebral body, for intrinsic bony lesion, with- out decompression of spinal cord or nerve root(s), single vertebral segment; cervical: 22110 13. Partial excision of vertebral body, for intrinsic bony lesion, with- out decompression of spinal cord or nerve root(s), single vertebral segment; thoracic: 22112 14. Partial excision of vertebral body, for intrinsic bony lesion, with- out decompression of spinal cord or nerve root(s), single vertebral segment; lumbar: 22114 15. Partial excision of vertebral body, for intrinsic bony lesion, with- out decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (list separately in addi- tion to code for primary procedure): 22116 16. Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); thoracic: 22206 17. Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); lumbar: 22207 18. Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); each additional vertebral segment (list separately in addition to code for primary procedure): 22208 19. Osteotomy of spine, posterior or posterolateral approach, 1 verte- bral segment; cervical: 22210 20. Osteotomy of spine, posterior or posterolateral approach, 1 verte- bral segment; thoracic: 22212 21. Osteotomy of spine, posterior or posterolateral approach, 1 verte- bral segment; lumbar: 22214 22. Osteotomy of spine, posterior or posterolateral approach, 1 ver- tebral segment; each additional vertebral segment (list separately in addition to primary procedure): 22216 23. Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical: 22220 24. Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic: 22222 25. Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar: 22224 26. Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (list separately in addition to code for primary procedure): 22226 27. Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar: 22325 28. Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical: 22326 29. Open treatment and/or reduction of vertebral fracture(s) and/or