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See a sample rate comparisonCPT 22843 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.
Insert Spine Fixation Device, Posterior Segmental Instrumentation Eg Pedicle Fixation Dual Rods With Multiple Hooks And Sublaminar Wires 7 To 12 Vertebral Segments 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 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22843 |
| Medicaid Fee Schedule | View Medicaid rates for 22843 |
National average reimbursement for CPT 22843 by major payers:
$1,035.79
$1,123.26
$1,263.69
$1,322.82
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CPT 22843
5 of 25 sample ratesHigher to lower in this preview
Long Island Ambulatory Surgery Center, LLC
Long Island Ambulatory Surgery Center LLC
$1,500.00Published rateArapahoe Endoscopy Center Partnership Pllp
$1,096.00Published rateRedbird Square Endoscopy Center LLC, Digestive Health Center At Redbird Square
Redbird Square Endoscopy Center LLC
$391.00Published ratePsa Ambulatory Surgical Center Of South Austin, LLC
Psa Ambulatory Surgical Center Of South Austin LLC
$173.00Published rateMidtown Surgery Center
$55.00Published rate
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See a sample payer proposalCPT 22843 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22843 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 22843 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 |
|---|---|---|
| 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 |
| 22842-CPT | Moderate | Insert Spine Fixation Device, Posterior Segmental Instrumentation Eg Pedicle Fixation Dual Rods With Multiple Hooks And Sublaminar Wires 3 To 6 Vertebral Segments List Separately In Addition To Code For Primary Procedure |
| 22843-CPT | High | Insert Spine Fixation Device, Posterior Segmental Instrumentation Eg Pedicle Fixation Dual Rods With Multiple Hooks And Sublaminar Wires 7 To 12 Vertebral Segments List Separately In Addition To Code For Primary Procedure |
| 22844-CPT | High | Insert Spine Fixation Device, Posterior Segmental Instrumentation Eg Pedicle Fixation Dual Rods With Multiple Hooks And Sublaminar Wires 13 Or More Vertebral Segments 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 22843. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22843 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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