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See a sample rate comparisonCPT 22858 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.
Tot Disc Arthrp 2nd Lvl Crv, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy With End Plate Preparation Includes Osteophytectomy For Nerve Root Or Spinal Cord Decompression And Microdissection Second Level Cervical 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 | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22858 |
| Medicaid Fee Schedule | View Medicaid rates for 22858 |
National average reimbursement for CPT 22858 by major payers:
$699.61
$708.56
$739.48
$822.31
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CPT 22858
5 of 25 sample ratesHigher to lower in this preview
Summer Street Asc LLC
$11,770.00Published rateMemorial Surgery Center, LLC
Memorial Surgery Center LLC
$531.00Published rateSouthwest Endoscopy Ltd
$238.00Published rateAdvanced Urology Surgery Center
$150.00Published ratePine Grove Ambulatory Surgical
$84.00Published rate
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See a sample payer proposalCPT 22858 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22858 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 22858 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 |
|---|---|---|
| 22856-CPT | High | Total Disc Arthroplasty (Artificial Disc) Anterior Approach Including Discectomy With End Plate Preparation (Includes Osteophytectomy For Nerve Root Or Spinal Cord Decompression And Microdissection) Single Interspace Cervical (Desc Revised 01/01/15) |
| 22858-CPT | Moderate | Tot Disc Arthrp 2nd Lvl Crv, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy With End Plate Preparation Includes Osteophytectomy For Nerve Root Or Spinal Cord Decompression And Microdissection Second Level Cervical List Separately In Addition To Code For Primary Procedure |
| 22860-CPT | Moderate | Tot Disc Arthrp 2ntrspc Lmbr, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy To Prepare Interspace Other Than For Decompression Second Interspace Lumbar List Separately In Addition To Code For Primary Procedure |
| 22864-CPT | High | Once Per Dos Removal Of Total Disc Arthroplasty, Anterior Approach, Single Interspace; Cervical-Medicaid:Rn Review>9/15/2015.Commercial Rn Review=9/15/2015-3/31/2022 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22858. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22858 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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