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See a sample rate comparisonCPT 22846 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.
Insert Spine Fixation Device, Surgical Placement Of Spine Device To Correct Abnormal Curvature; Multiple Vertebrae (Back Bones) Are Involved.
| 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 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22846 |
| Medicaid Fee Schedule | View Medicaid rates for 22846 |
National average reimbursement for CPT 22846 by major payers:
$966.63
$1,048.03
$1,137.54
$1,228.76
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CPT 22846
5 of 25 sample ratesHigher to lower in this preview
Franciscan Lakeshore Asc, LLC
$11,326.00Published ratePlaza Ambulatory Surgery Center LLC
$5,592.00Published rateAndochick Surgical Center LLC, Physicians Surgery Center Of Frederick
Andochick Surgical Center LLC
$4,245.00Published rateGastrointestinal Center Of Hialeah, LLC
Gastrointestinal Center Of Hialeah LLC
$2,178.00Published rateMelissa Harmon
Deaconess Hospital Inc
$590.32Published rate
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See a sample payer proposalCPT 22846 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22846 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 22846 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 |
|---|---|---|
| 22845-CPT | Moderate | Insert Spine Fixation Device, Surgical Placement Of Spine Device To Correct Abnormal Curvature; Multiple Vertebrae (Back Bones) Are Involved. |
| 22846-CPT | Moderate | Insert Spine Fixation Device, Surgical Placement Of Spine Device To Correct Abnormal Curvature; Multiple Vertebrae (Back Bones) Are Involved. |
| 22847-CPT | High | Insert Spine Fixation Device, Anterior Instrumentation; 8 Or More Vertebral Segments (List Separately In Addition To Code For Primary Procedure) |
| 22848-CPT | Moderate | Insert Pelvic Fixationdevice, Pelvic Fixation (Attachment Of Caudal End Of Instrumentation To Pelvic Bony Structures) Other Than Sacrum (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 22846. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22846 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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