22505 Manipulation of spine
Also known as: spinal manipulation under anesthesia, therapeutic spine mobilization
Manipulation of spine with anesthesia. Therapeutic mobilization of spinal segments under general or regional anesthesia for treatment of spinal stiffness, stenosis, or mobility restriction.
Clinical Context
Used for spinal stiffness or restricted mobility not responsive to conservative treatment. Manipulation under anesthesia allows greater mobilization forces. Often used in revision cases or ankylosed spine.
RVU Breakdown
| Work RVU | 1.82 |
| Practice Expense RVU | 2.00 |
| Malpractice RVU | 0.78 |
| Total RVU | 4.60 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.