22845 Insert spine fixation device
Also known as: Pedicle screw fixation 5-7 levels, Extended segmental instrumentation
Posterior segmental instrumentation (eg, pedicle screw, hook); 5-7 segments.
In Plain Language
Long metal rod and screw system; Extended spine stabilization
Clinical Context
Posterior segmental instrumentation for extensive thoracolumbar instability, deformity, or trauma; spans 5-7 vertebral segments.
RVU Breakdown
| Work RVU | 11.64 |
| Total RVU | 11.64 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 11.64, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22845?
CPT 22845 (Insert spine fixation device) is a Surgery code. Posterior segmental instrumentation (eg, pedicle screw, hook); 5-7 segments.
What is the wRVU value for CPT 22845?
The work RVU for CPT 22845 is 11.64. This code is primarily used by Spine Surgery, Orthopedic Surgery.
When is CPT 22845 used?
Posterior segmental instrumentation for extensive thoracolumbar instability, deformity, or trauma; spans 5-7 vertebral segments.
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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.