22548 Arthrd anterior toral/xoral c1-c2
Also known as: Anterior cervical fusion, C1-C2 fusion, ACDF
Arthrodesis, anterior/anterolateral approach, including discectomy and/or corpectomy to decompress spinal cord and/or nerve roots, cervical; including C1-C2.
In Plain Language
Neck spinal fusion through front approach; Bone grafting for neck instability
Clinical Context
Used for C1-C2 instability from trauma, odontoid fractures, or ligamentous injuries; anterior approach provides direct access to upper cervical spine.
RVU Breakdown
| Work RVU | 26.38 |
| Total RVU | 26.38 |
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 26.38, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22548?
CPT 22548 (Arthrd anterior toral/xoral c1-c2) is a Surgery code. Arthrodesis, anterior/anterolateral approach, including discectomy and/or corpectomy to decompress spinal cord and/or nerve roots, cervical; including C1-C2.
What is the wRVU value for CPT 22548?
The work RVU for CPT 22548 is 26.38. This code is primarily used by Spine Surgery, Neurosurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22548 used?
Used for C1-C2 instability from trauma, odontoid fractures, or ligamentous injuries; anterior approach provides direct access to upper cervical spine.
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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.