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See a sample rate comparisonCPT 22315 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Vertebral, Closed Treatment Of Vertebral Fracture(S) Andor Dislocation(S) Requiring Casting Or Bracing With And Including Casting Andor Bracing By Manipulation Or Traction
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22315 |
| Medicaid Fee Schedule | View Medicaid rates for 22315 |
National average reimbursement for CPT 22315 by major payers:
$1,110.52
$1,163.45
$1,256.11
$1,255.47
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CPT 22315
5 of 25 sample ratesHigher to lower in this preview
Vadnais Heights Surgery Center LLC, Vadnais Heights Surgery Center
$2,701.00Published rateDesert Ridge Outpatient Surgery LLC
$1,276.00Published rateBaptist Surgery And Endoscopy Centers LLC, Baptist Health Endoscopy Center At Galloway North
$803.00Published rateFlorence Surgery Center, L.P., Florence Surgery Center
Florence Surgery Center Lp
$572.00Published rateMidsouth Interventional Pain Institute, LLC
Midsouth Interventional Pain Institute LLC
$400.00Published rate
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See a sample payer proposalCPT 22315 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22315 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 22315 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 22310-CPT | Moderate | Closed Treatment Of Vertebral, Closed Treatment Of Vertebral Body Fracture(S) Withoutmanipulation Requiring And Including Castingor Bracing Closed Treatment Of Vertebral Body Fr Acture(S) Without |
| 22315-CPT | High | Closed Treatment Of Vertebral, Closed Treatment Of Vertebral Fracture(S) Andor Dislocation(S) Requiring Casting Or Bracing With And Including Casting Andor Bracing By Manipulation Or Traction |
| 22318-CPT | High | Treat Odontoid Fx W O Graft, Open Treatment And Or Reduction Of Odontoid Fracture S And Or Dislocation S Including Os Odontoideum Anterior Approach Including Placement Of Internal Fixation Without Grafting |
| 22319-CPT | High | Treat Odontoid Fx W Graft, Open Treatment And Or Reduction Of Odontoid Fracture S And Or Dislocation S Including Os Odontoideum Anterior Approach Including Placement Of Internal Fixation With Grafting |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22315. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22315 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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