22590 Arthrd pst tq craniocervical
Also known as: Craniocervical fusion, Occiput-C2 fusion
Arthrodesis, posterior technique, craniocervical junction including occipital condyles to C2; single segment.
In Plain Language
Base of skull to neck fusion; Upper cervical spine bone grafting
Clinical Context
Used for craniocervical instability from trauma, developmental disorders (Down syndrome), or degenerative changes; stabilizes articulation between skull and spine.
RVU Breakdown
| Work RVU | 21.22 |
| Total RVU | 21.22 |
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 21.22, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22590?
CPT 22590 (Arthrd pst tq craniocervical) is a Surgery code. Arthrodesis, posterior technique, craniocervical junction including occipital condyles to C2; single segment.
What is the wRVU value for CPT 22590?
The work RVU for CPT 22590 is 21.22. This code is primarily used by Spine Surgery, Neurosurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22590 used?
Used for craniocervical instability from trauma, developmental disorders (Down syndrome), or degenerative changes; stabilizes articulation between skull and 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.