22595 Arthrd pst tq atlas-axis
Also known as: C1-C2 posterior fusion, Atlas-axis fusion
Arthrodesis, posterior technique, atlas-axis (C1-C2); single segment.
In Plain Language
Neck fusion at top vertebrae; Upper neck bone grafting
Clinical Context
Used for odontoid fractures, atlantoaxial instability, or C1-C2 subluxation; posterior approach is standard for trauma and instability.
RVU Breakdown
| Work RVU | 20.12 |
| Total RVU | 20.12 |
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 20.12, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22595?
CPT 22595 (Arthrd pst tq atlas-axis) is a Surgery code. Arthrodesis, posterior technique, atlas-axis (C1-C2); single segment.
What is the wRVU value for CPT 22595?
The work RVU for CPT 22595 is 20.12. This code is primarily used by Spine Surgery, Neurosurgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22595 used?
Used for odontoid fractures, atlantoaxial instability, or C1-C2 subluxation; posterior approach is standard for trauma and instability.
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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.