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See a sample rate comparisonCPT 22326 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 Cervical
| 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 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22326 |
| Medicaid Fee Schedule | View Medicaid rates for 22326 |
National average reimbursement for CPT 22326 by major payers:
$1,865.33
$2,008.61
$2,200.61
$2,418.43
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CPT 22326
5 of 25 sample ratesHigher to lower in this preview
Medical Park Tower Surgery Center, LLC, Medical Park Tower Surgery Center
Medical Park Tower Surgery Center LLC
$7,888.00Published rateWatauga Surgical Partners PLLC
$4,500.00Published ratePacificoast Ambulatory Surgicenter, LLC., Pacific Coast Ambulatory Surgicenter
Pacificoast Ambulatory Surgicenter LLC
$2,800.00Published rateCmmp Surgical Center LLC
Cmmp Surgical Center
$2,037.00Published rateSouth Perry Endoscopy PLLC
$857.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 22326 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22326 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 22326 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 22326. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22326 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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