22846 Insert spine fixation device
Also known as: Pedicle screw fixation extensive, Long construct instrumentation
Posterior segmental instrumentation (eg, pedicle screw, hook); 8 or more segments.
In Plain Language
Extensive metal fixation system; Long spinal stabilization
Clinical Context
Posterior segmental instrumentation for severe deformity or extensive instability; longest possible posterior construct.
RVU Breakdown
| Work RVU | 12.09 |
| Total RVU | 12.09 |
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 12.09, this code ranks in the 65th 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 22846?
CPT 22846 (Insert spine fixation device) is a Surgery code. Posterior segmental instrumentation (eg, pedicle screw, hook); 8 or more segments.
What is the wRVU value for CPT 22846?
The work RVU for CPT 22846 is 12.09. This code is primarily used by Spine Surgery, Orthopedic Surgery.
When is CPT 22846 used?
Posterior segmental instrumentation for severe deformity or extensive instability; longest possible posterior construct.
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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.