22114 Remove part lumbar vertebra
Also known as: lumbar vertebra ostectomy with decompression, extensive lumbar corpectomy
Partial ostectomy of lumbar vertebra with significant decompression. Surgical removal of portion of lumbar vertebral body with extensive decompression of neural elements.
In Plain Language
lumbar spine decompression surgery; lower back vertebra removal with nerve decompression
Clinical Context
Used for more extensive lumbar vertebral body removal with greater decompression of spinal nerves or cauda equina. Higher complexity than partial ostectomy reflecting greater extent of decompression.
RVU Breakdown
| Work RVU | 13.72 |
| Total RVU | 13.72 |
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. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 13.72, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22114?
CPT 22114 (Remove part lumbar vertebra) is a Surgery code. Partial ostectomy of lumbar vertebra with significant decompression. Surgical removal of portion of lumbar vertebral body with extensive decompression of neural elements.
What is the wRVU value for CPT 22114?
The work RVU for CPT 22114 is 13.72. This code is primarily used by Spine Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22114 used?
Used for more extensive lumbar vertebral body removal with greater decompression of spinal nerves or cauda equina. Higher complexity than partial ostectomy reflecting greater extent of decompression.
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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.