22586 Arthrd pre-sac ntrbdy l5-s1
Also known as: Presacral ALIF, Anterior lumbar interbody fusion
Arthrodesis, presacral interbody technique, including discectomy and/or corpectomy and interbody device placement, lumbar; single vertebral segment (L5-S1).
In Plain Language
Lower back fusion at base of spine; Lumbar bone grafting via front approach
Clinical Context
Used for lumbosacral instability or degeneration; presacral approach provides excellent visualization and fusion rates for L5-S1 pathology.
RVU Breakdown
| Work RVU | 27.42 |
| Total RVU | 27.42 |
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 27.42, this code ranks in the 91st percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22586?
CPT 22586 (Arthrd pre-sac ntrbdy l5-s1) is a Surgery code. Arthrodesis, presacral interbody technique, including discectomy and/or corpectomy and interbody device placement, lumbar; single vertebral segment (L5-S1).
What is the wRVU value for CPT 22586?
The work RVU for CPT 22586 is 27.42. This code is primarily used by Spine Surgery, Orthopedic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 22586 used?
Used for lumbosacral instability or degeneration; presacral approach provides excellent visualization and fusion rates for L5-S1 pathology.
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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.