22103 Remove extra spine segment
Also known as: additional vertebral segment ostectomy, per additional level ostectomy
Partial ostectomy of each additional vertebral segment. Each additional vertebra requiring partial ostectomy beyond the first segment in a staged or combined approach.
In Plain Language
additional vertebra bone removal
Clinical Context
Used as add-on code for each additional vertebra requiring ostectomy in procedures involving multiple levels. Typically appended to primary vertebral ostectomy codes when treating multilevel pathology.
RVU Breakdown
| Work RVU | 2.28 |
| Total RVU | 2.28 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.28, this code ranks in the 16th percentile among Surgery codes — 3.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22103?
CPT 22103 (Remove extra spine segment) is a Surgery code. Partial ostectomy of each additional vertebral segment. Each additional vertebra requiring partial ostectomy beyond the first segment in a staged or combined approach.
What is the wRVU value for CPT 22103?
The work RVU for CPT 22103 is 2.28. This code is primarily used by Spine Surgery, Orthopedic Surgery.
When is CPT 22103 used?
Used as add-on code for each additional vertebra requiring ostectomy in procedures involving multiple levels. Typically appended to primary vertebral ostectomy codes when treating multilevel pathology.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.