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See a sample rate comparisonCPT 22860 Fee Schedule
Medicare rates as of October 2026
CPT 22860 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 62Co-Surgeons ASPA/NP/CNS assistant at surgery |
| Surgery Center Payment (ASC) | N1 - Packaged; no separate payment |
| Add-on Code For | 22857 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $344.36 national non-facility rate (2026)View Medicare rates for 22860 |
| Medicaid Fee Schedule | $344.615 median of the 8 states in the free previewView Medicaid rates for 22860 |
National average reimbursement for CPT 22860 by major payers:
$531.22
BCBS / Anthem
$746.58
UnitedHealthcare
$614.57
Aetna
$729.50
Cigna
Compare published rates across providers.
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CPT 22860
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center, LLC, Meridian South Surgery Center
$7,400.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$1,049.00Published ratePasteur Plaza Surgery Center Lp, Pasteur Plaza Surgery Center
Pasteur Plaza Surgery Center Lp
$834.00Published rateOcala Endoscopy Asc Lp, Endoscopy Center Of Ocala
Ocala Endoscopy Asc Lp
$525.00Published ratePhysicians Surgery Center LLC
$100.00Published rate
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See a sample payer proposalCPT 22860 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 22860. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 22857-CPT | Tot Disc Arthrp 1ntrspc Lmbr, Total Disc Arthroplasty Artificial Disc Anterior Approach Including Discectomy To Prepare Interspace Other Than For Decompression Single Interspace Lumbar |
| 22860-CPT | 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 |
| 22862-CPT | Once Per Dos Revision Including Replacement Of Total Disc Arthroplasty, Anterior Approach, Single Interspace; Lumbar - Deny Inv/N10 Except Uhs <12/31/2020 |
| 22865-CPT | Remval Of Total Disc Arthroplst (Artifici Disc) Anterio Approac, Removal Of Total Disc Arthroplasty (Artificial Disc) Anterior Approac |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22860. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22860 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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Frequently Asked Questions
How does Medicare pay for CPT 22860 in an ambulatory surgery center?
CMS lists CPT 22860 with ASC payment indicator N1: Packaged; no separate payment.
Is CPT 22860 an add-on code?
Yes. CMS add-on code edits list CPT 22860 as an add-on code, billed with a primary code. Its primary codes: 22857.
Which revenue codes are billed with CPT 22860?
Hospital price transparency files list CPT 22860 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.