22857 Tot disc arthrp 1ntrspc lumbar
Also known as: Lumbar disc arthroplasty, Lumbar artificial disc
Total disc arthroplasty (including endplate preparation, discectomy, and interbody device insertion), single interspace; lumbar.
In Plain Language
Artificial disc replacement in lower back; Motion-preserving lumbar surgery
Clinical Context
Used for lumbar spondylosis and degenerative disc disease; artificial disc preserves motion and may reduce adjacent-level degeneration.
RVU Breakdown
| Work RVU | 26.45 |
| Total RVU | 26.45 |
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 26.45, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22857?
CPT 22857 (Tot disc arthrp 1ntrspc lumbar) is a Surgery code. Total disc arthroplasty (including endplate preparation, discectomy, and interbody device insertion), single interspace; lumbar.
What is the wRVU value for CPT 22857?
The work RVU for CPT 22857 is 26.45. This code is primarily used by Spine Surgery, Orthopedic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 22857 used?
Used for lumbar spondylosis and degenerative disc disease; artificial disc preserves motion and may reduce adjacent-level degeneration.
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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.