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See a sample rate comparisonCPT 22325 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.
Open Treatment Andor Reductio, Open Treatment Andor Reduction Of Vertebral Fracture(S)Andor Dislocation(S) Posterior Approach One Fractured Vertebrae Or Dislocated Segment Lumbar
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22325 |
| Medicaid Fee Schedule | View Medicaid rates for 22325 |
National average reimbursement for CPT 22325 by major payers:
$1,770.27
$1,931.57
$2,129.40
$2,346.74
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CPT 22325
5 of 25 sample ratesHigher to lower in this preview
Marin Health Ventures, LLC, Marin Specialty Surgery Center
Marin Health Ventures, Inc. Dba Marin Specialty Surgery Center
$9,347.00Published rateMedstar Surgery Center At Timonium, LLC
Medstar Surgery Center At Timo
$4,100.00Published rateValdosta Foot & Ankle Surgery Center, P.C.
Valdosta Foot Ankle Surgery Center PC
$2,669.00Published ratePerkins Plaza Ambulatory Surgery Center LLC, Lake Surgery Center
Lake Asc
$2,023.00Published rateIsland Digestive Health Center, LLC
Island Digestive Health Center LLC
$979.00Published rate
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See a sample payer proposalCPT 22325 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22325 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 22325 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 |
|---|---|---|
| 22325-CPT | High | Open Treatment Andor Reductio, Open Treatment Andor Reduction Of Vertebral Fracture(S)Andor Dislocation(S) Posterior Approach One Fractured Vertebrae Or Dislocated Segment Lumbar |
| 22326-CPT | High | Open Treatment Andor Reductio, Open Treatment Andor Reduction Of Vertebral Fracture(S)Andor Dislocation(S) Posterior Approach One Fractured Vertebrae Or Dislocated Segment Cervical |
| 22327-CPT | High | Treat Thorax Spine Fracture, Open Treatment And Or Reduction Of Vertebral Fracture S And Or Dislocation S Posterior Approach 1 Fractured Vertebra Or Dislocated Segment Thoracic |
| 22328-CPT | Moderate | Fracture Treatment/Spine, Open Treatment And/Or Reduction Of Vertebral Fracture(S) And/Or Dislocation(S) Posterior Approach One Fractured Vertebrae Or Dislocated Segment; Each Additional Fractured Vertebrae Or Dislocated Segment (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22325 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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