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See a sample rate comparisonCPT 22328 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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)
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22328 |
| Medicaid Fee Schedule | View Medicaid rates for 22328 |
National average reimbursement for CPT 22328 by major payers:
$359.06
$387.03
$440.04
$454.86
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CPT 22328
5 of 25 sample ratesHigher to lower in this preview
Los Gatos Surgical Center, A California Limited Partnership, Endoscopy Center Of Silicon Valley
$2,830.00Published rateGenesee Care L.L.C., The Surgery Center Of Genesee County
Genesee Care LLC
$600.00Published rateFoothills Surgery Center, LLC
$506.00Published rateThe Vancouver Clinic Inc Ps, The Vancouver Clinic, Ambulatory Surgery Center
The Vancouver Clinic, Inc., Ps
$261.00Published rateNovamed Surgery Center Of Jonesboro, LLC, Eye Surgery Center Of Arkansas
Novamed Surgery Center Of Jonesboro LLC
$81.00Published rate
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See a sample payer proposalCPT 22328 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22328 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 22328 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 22328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22328 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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