22849 Reinsert spinal fixation
Also known as: Reinsert hardware, Hardware replacement
Reinsertion of spinal fixation device.
In Plain Language
Replacement of spinal fixation; Putting back spinal hardware
Clinical Context
Used when previously implanted spinal hardware is removed and replaced; can be related to infection, failure, or repositioning.
RVU Breakdown
| Work RVU | 18.69 |
| Total RVU | 18.69 |
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 18.69, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22849?
CPT 22849 (Reinsert spinal fixation) is a Surgery code. Reinsertion of spinal fixation device.
What is the wRVU value for CPT 22849?
The work RVU for CPT 22849 is 18.69. This code is primarily used by Spine Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 22849 used?
Used when previously implanted spinal hardware is removed and replaced; can be related to infection, failure, or repositioning.
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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.