22558 Arthrd anterior ntrbd minutes dsc lum
Also known as: Anterior lumbar fusion with bone graft, ALIF with bone graft
Arthrodesis, anterior/anterolateral approach, including discectomy and/or corpectomy to decompress spinal cord and/or nerve roots, lumbar; with mineralized bone void filler/bone matrix, single interspaces.
In Plain Language
Lower back fusion with bone graft; Lumbar spine bone grafting
Clinical Context
Used for lumbar spondylosis, spondylolisthesis, or disc herniation via anterior approach; mineralized bone material enhances fusion rate and stability.
RVU Breakdown
| Work RVU | 22.94 |
| Total RVU | 22.94 |
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 22.94, this code ranks in the 86th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22558?
CPT 22558 (Arthrd anterior ntrbd minutes dsc lum) is a Surgery code. Arthrodesis, anterior/anterolateral approach, including discectomy and/or corpectomy to decompress spinal cord and/or nerve roots, lumbar; with mineralized bone void filler/bone matrix, single interspaces.
What is the wRVU value for CPT 22558?
The work RVU for CPT 22558 is 22.94. This code is primarily used by Spine Surgery, Orthopedic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 22558 used?
Used for lumbar spondylosis, spondylolisthesis, or disc herniation via anterior approach; mineralized bone material enhances fusion rate and stability.
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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.