Orthopedic CPT codes

Surgical reattachment of a completely amputated hand, including all structures from the hand through the metacarpophalangeal joints.

Microvascular transfer of two toes (neither the great toe) to reconstruct two absent or amputated digits on the hand.

Complete replantation of a traumatically amputated forearm, reattaching bone, vessels, nerves, and soft tissue.

Free toe joint transfer to the hand using microvascular anastomosis, replacing a finger joint destroyed by trauma or congenital deformity.

Great-toe wrap-around transfer to the hand with microvascular anastomosis and bone graft for thumb reconstruction

Toe-to-hand transfer with microvascular anastomosis, single digit other than the great toe

Free osteocutaneous flap harvested from the great toe with web space, transferred to a recipient site using microvascular anastomosis to restore both bone and soft tissue.

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.

Free osteocutaneous flap transfer with microvascular anastomosis, harvested from a donor site other than the iliac crest, metatarsal, or great toe, to reconstruct combined bone and soft tissue defects.

Radical resection of a tumor or infection involving the total innominate bone (ilium, ischium, and pubis as a composite structure), with wide excision margins extending into surrounding healthy tissue.

Free osteocutaneous flap harvested from the iliac crest, including bone, overlying skin, and intact vascular pedicle, transferred with microvascular anastomosis to reconstruct a distant defect.

Free osteocutaneous flap transfer from a metatarsal donor site, with microvascular anastomosis, to reconstruct a recipient site requiring both bone and skin coverage.

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

Surgical reattachment of a completely amputated foot, restoring bony, vascular, tendinous, and neural continuity.

Surgical reattachment of a completely severed arm, spanning from the surgical neck of the humerus through the elbow joint.

Microvascular bone graft harvested from the metatarsal, transferred to a recipient site with microsurgical vascular anastomosis to restore active blood supply.

Bone graft harvested from the iliac crest and transferred to a recipient site using microvascular anastomosis to restore the graft's blood supply.

Harvest and transfer of a vascularized fibula bone graft using microvascular technique, including anastomosis of the accompanying blood supply to the recipient site.

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.

Kyphectomy with circumferential spinal exposure and full resection of three or more vertebral segments, including vertebral body and posterior elements.

Microvascular bone graft harvested from a donor site other than the fibula, iliac crest, or metatarsal, transplanted with its intact arterial and venous supply to fill a major skeletal defect at the recipient site.

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.

Posterior spinal arthrodesis for deformity correction spanning 13 or more vertebral segments, performed with or without application of a body cast.

Three-column thoracic spine osteotomy via posterior or posterolateral approach, resecting one vertebral segment including pedicles and posterior vertebral wall — the pedicle subtraction osteotomy (PSO) at the thoracic level.

Three-column lumbar spinal osteotomy performed via a posterior or posterolateral approach on a single vertebral segment, involving removal of a wedge of bone to correct fixed sagittal or coronal deformity in the lumbar spine.

Revision, replacement, or removal of a previously placed thoracic vertebral body tethering construct — screws and flexible cable — used to treat progressive scoliosis, with thoracoscopy included when performed.

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.

Anterior thoracic vertebral body tethering via screw-and-cord construct placed across 8 or more vertebral segments, thoracoscopy included when performed.

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

Kyphectomy involving circumferential spinal exposure and full resection of one or two vertebral segments, including both the vertebral body and posterior elements.

Anterior spinal arthrodesis for deformity correction spanning eight or more vertebral segments, with or without cast application.

Partial or complete lumbar vertebral body resection via lateral extracavitary approach, single segment, with spinal cord and/or nerve root decompression.

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

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

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.

Revision or replacement of a previously implanted cervical total disc arthroplasty, performed via an anterior approach at a single interspace.

Radical resection of a tumor involving a wing of the ilium, one pubic or ischial ramus, or the symphysis pubis, with removal of a margin of surrounding healthy tissue.

Revision of a lumbar total disc replacement at one level through an anterior approach, including removal of the old device and placement of a new one.

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.

Radical resection of a tumor involving the femur or knee, including bone and surrounding soft tissue as required for oncologic margins.

Radical resection of tumor involving the ischial tuberosity and greater trochanter of the femur, with wide excision margins including surrounding healthy tissue.

Posterior spinal arthrodesis for deformity correction spanning 7 to 12 vertebral segments, with or without body cast application.

Anterior thoracic vertebral body tethering using screws and a flexible cord to correct scoliosis without fusion, covering up to 7 vertebral segments, with thoracoscopy included when performed.

Replantation of a single digit (excluding the thumb) following complete amputation, covering the metacarpophalangeal joint through the insertion of the flexor sublimis tendon.

Surgical reattachment of a completely amputated thumb, spanning the carpometacarpal joint through the MP joint, including repair of bone, vasculature, nerves, and soft tissue.

Anterior spinal arthrodesis for deformity correction spanning 4 to 7 vertebral segments, including minimal discectomy to prepare each interspace.

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

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

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.

Open treatment of a craniofacial separation fracture — the most complex category — requiring multiple internal fixation points and, when needed, bone grafting across the cranial-facial junction.

Revision of total hip arthroplasty involving replacement of both the femoral and acetabular components in a single operative session.

Surgical removal of a tumor originating at or involving the proximal humerus, requiring radical resection of bone and surrounding tissue.

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

Radical resection of a soft tissue tumor (e.g., sarcoma) of the pelvis and hip area measuring 5 cm or greater, including removal of surrounding tissue margins.

Open surgical repair of complex acetabular fractures involving both anterior and posterior columns, including T-type, both-column, and single-column or transverse patterns with associated wall fracture, with internal fixation.

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

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

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

Arthrodesis at the lumbosacral junction (L5-S1) performed via a presacral, retroperitoneal interbody approach with implant placement.

Anterior spinal arthrodesis for deformity correction spanning 2 to 3 vertebral segments, performed with or without cast application.