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See a sample rate comparisonCPT 22838 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.
Rev Rplc Rmv Thrc Vrt Tethrg, Revision Eg Augmentation Division Of Tether Replacement Or Removal Of Thoracic Vertebral Body Tethering Including Thoracoscopy When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22838 |
| Medicaid Fee Schedule | View Medicaid rates for 22838 |
National average reimbursement for CPT 22838 by major payers:
$3,003.25
$3,834.35
$2,727.04
$3,971.57
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CPT 22838
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$16,236.00Published rateSpecialty Surgery Center At Fountain Valley Regional Hospital LLC
$1,121.00Published rateInterventional Pain Management LLC
$643.00Published rateMidatlantic Endoscopy LLC, Mid-Atlantic Gastrointestinal Center
$319.00Published rateAmerican Access Care Of Towson Asc LLC
$150.00Published rate
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See a sample payer proposalCPT 22838 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22838 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 22838 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 |
|---|---|---|
| 22838-CPT | High | Rev Rplc Rmv Thrc Vrt Tethrg, Revision Eg Augmentation Division Of Tether Replacement Or Removal Of Thoracic Vertebral Body Tethering Including Thoracoscopy When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22838. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22838 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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