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See a sample rate comparisonCPT 22319 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22319 |
| Medicaid Fee Schedule | View Medicaid rates for 22319 |
National average reimbursement for CPT 22319 by major payers:
$2,324.59
$2,446.34
$2,545.52
$2,913.73
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CPT 22319
5 of 25 sample ratesHigher to lower in this preview
South Emerson Surgery Center, LLC
$17,168.00Published rateTucson Digestive Institute LLC, Arizona Digestive Institute
$6,087.00Published rateGeorgia Interventional Pain
$4,500.00Published rateMnh Gi Surgical Center LLC, Mnh Surgical Center
$2,041.00Published rateFour States Surgery Center, PC, Four States Surgery Center,
Four States Surgery Center, PC
$835.00Published rate
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See a sample payer proposalCPT 22319 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22319 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 22319 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 22319. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22319 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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