22838 Revision rplc/removal thrc vrt tethering
Also known as: VBT revision, Tether replacement
Revision or replacement of anterior vertebral body tethering, including removal of prior tether and/or tetherectomy.
In Plain Language
Surgery to replace or fix tether; Tether adjustment or removal
Clinical Context
Used when prior vertebral body tethering requires revision, replacement, or removal due to mechanical failure or inadequate correction.
RVU Breakdown
| Work RVU | 35.10 |
| Total RVU | 35.10 |
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 35.10, this code ranks in the 95th percentile among Surgery codes — 4.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22838?
CPT 22838 (Revision rplc/removal thrc vrt tethering) is a Surgery code. Revision or replacement of anterior vertebral body tethering, including removal of prior tether and/or tetherectomy.
What is the wRVU value for CPT 22838?
The work RVU for CPT 22838 is 35.10. This code is primarily used by Spine Surgery, Pediatric Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22838 used?
Used when prior vertebral body tethering requires revision, replacement, or removal due to mechanical failure or inadequate correction.
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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.