22319 Treat odontoid fracture with graft
Also known as: odontoid fracture ORIF with graft, dens fracture with bone reconstruction
Open treatment of odontoid process fracture with bone graft. Surgical reduction and fixation of odontoid fractures with supplemental bone graft material for biological healing support.
In Plain Language
second cervical vertebra fracture surgery with bone graft; dens bone surgery with bone material
Clinical Context
Used for odontoid fractures where bone graft enhances fusion potential. Graft harvesting and placement increase operative complexity. Indicated for comminuted fractures or when additional biologics needed.
RVU Breakdown
| Work RVU | 24.70 |
| Total RVU | 24.70 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 24.70, this code ranks in the 88th percentile among Surgery codes — 3.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22319?
CPT 22319 (Treat odontoid fracture with graft) is a Surgery code. Open treatment of odontoid process fracture with bone graft. Surgical reduction and fixation of odontoid fractures with supplemental bone graft material for biological healing support.
What is the wRVU value for CPT 22319?
The work RVU for CPT 22319 is 24.70. This code is primarily used by Spine Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22319 used?
Used for odontoid fractures where bone graft enhances fusion potential. Graft harvesting and placement increase operative complexity. Indicated for comminuted fractures or when additional biologics needed.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.