CPT 22845 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
National average reimbursement for CPT 22845 by major payers:
$922.53
$1,011.25
$1,112.88
$1,213.67
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 22845 | ||||||
United | 22845 | $3084.00 | 1508531740 - BAY AREA HEART SURGERY CENTER | 852782496 - (FL) BAY AREA HEART SURGERY CENTER | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $3289.00 | 1811950298 - SOUTH HILL AMBULATORY SURGICAL CENTER PS | 911546856 - (WA) SOUTH HILL AMBULATORY SURGICAL CENTER PS | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $1821.00 | 1295739217 - WATERSIDE AMBULATORY SURGICAL CENTER LLC | 650270415 - (FL) WATERSIDE AMBULATORY SURGICAL CE | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $2200.00 | 1407873292 - SURGERY CENTER OF VOLUSIA, LLC, SURGERY CENTER OF VOLUSIA | 593754620 - (FL) SURGERY CENTER OF VOLUSIA | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $2537.00 | 1760457204 - ORTHOPAEDIC SURGERY CENTER OF ILLINOIS, LLC | 371366377 - (IL) ORTHOPAEDIC SURGERY CENTER OF ILLINOIS LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $3730.00 | 1659657856 - ALFA SURGERY CENTER, LLC | 452748642 - (CA) ALFA SURGERY CENTER, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $9594.00 | 1669660817 - SPH IRVINE, L.L.C. | 752507129 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $1268.00 | 1023256187 - TAMPA SURGERY CENTER LLC | 264008716 - (FL) TAMPA SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $9182.00 | 1396175246 - MEMORIAL HERMANN BAY AREA ENDOSCOPY CENTER, LLC, BAY AREA ENDOSCOPY | 364773048 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $4500.00 | 1295119584 - WICHITA ASC LP, EPIC SURGERY CENTER | 471823557 | KS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $4865.00 | 1740634369 - THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF MEDICINE | 954373071 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $3400.00 | 1003357377 - NEPHROLOGY PHYSICIANS LLC | 352082018 - (IN) NEPHROLOGY PHYSICIANS LLC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $7000.00 | 1184627978 - NOVAMED SURGERY CENTER OF ORLANDO LLC, DOWNTOWN SURGERY CENTER | 522441418 - (FL) NOVAMED SURGERY CENTER OF ORLANDO LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $3145.00 | 1881911451 - SURGERY CENTER OF BJI, LLC | 264737296 - (GA) SURGERY CENTER OF BJI LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 22845 | $9000.00 | 1124084843 - ST CLOUD OUTPATIENT SURGERY LTD | 752201400 | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 22845 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22845 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 22845 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 | 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) |
| 22844-CPT | High | 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) |
| 22845-CPT | Moderate | Anterior Instrumentation; 2 To 3 Vertebral Segments (List Separately In Addition To Code For Primary Procedure) |
| 22846-CPT | Moderate | Anterior Instrumentation, 4 To 7 Vertebral Segments |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22845 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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