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See a sample rate comparisonCPT 22634 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.
Arthodesis Combined Posterior Or Posterolateral Technique With Posterior Interbody Technique Including Laminectomy And/Or Discectomy Suffcient To Prepare Interspace (Other Than For Decom- Pression) Single Interspace; Each Additional Interspace And Segment (List Separately In Addition To Code For Primary Procedure) (Desc Rvsd 1/1/22)
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22634 |
| Medicaid Fee Schedule | View Medicaid rates for 22634 |
National average reimbursement for CPT 22634 by major payers:
$622.00
$699.11
$729.43
$814.99
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CPT 22634
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Columbia Lp
$17,281.00Published ratePhysicians West El Paso Surgery Center, LLC
$550.00Published rateFirst Gi Endoscopy And Surgery Center LLC
$306.00Published rateWalla Walla Clinic, Inc., Walla Walla Clinic Ambulatory Surgery Center
Walla Walla Clinic, Inc.
$137.00Published rateCarolina Digestive Diseases, PA
Carolina Digestive Diseases
$77.00Published rate
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See a sample payer proposalCPT 22634 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22634 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 22634 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 |
|---|---|---|
| 22632-CPT | Moderate | Arthrd Pst Tq 1ntrspc Lm Ea, Arthrodesis Posterior Interbody Technique Including Laminectomy And Or Discectomy To Prepare Interspace Other Than For Decompression Single Interspace Lumbar Each Additional Interspace List Separately In Addition To Code For Primary Procedure |
| 22633-CPT | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 22634-CPT | Moderate | Arthodesis Combined Posterior Or Posterolateral Technique With Posterior Interbody Technique Including Laminectomy And/Or Discectomy Suffcient To Prepare Interspace (Other Than For Decom- Pression) Single Interspace; Each Additional Interspace And Segment (List Separately In Addition To Code For Primary Procedure) (Desc Rvsd 1/1/22) |
| 22840-CPT | Moderate | Insert Spine Fixation Device, Posterior Non Segmental Instrumentation Eg Harrington Rod Technique Pedicle Fixation Across 1 Interspace Atlantoaxial Transarticular Screw Fixation Sublaminar Wiring At C1 Facet Screw Fixation 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 22634. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22634 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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