22858 Tot disc arthrp second lvl crv
Also known as: Cervical disc arthroplasty second level, Multi-level cervical ADIS
Total disc arthroplasty (including endplate preparation, discectomy, and interbody device insertion), second interspace; cervical.
In Plain Language
Second artificial disc replacement in neck; Additional disc replacement
Clinical Context
Used when two cervical intervertebral levels require total disc arthroplasty for symptomatic degenerative disease.
RVU Breakdown
| Work RVU | 8.19 |
| Total RVU | 8.19 |
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 8.19, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22858?
CPT 22858 (Tot disc arthrp second lvl crv) is a Surgery code. Total disc arthroplasty (including endplate preparation, discectomy, and interbody device insertion), second interspace; cervical.
What is the wRVU value for CPT 22858?
The work RVU for CPT 22858 is 8.19. This code is primarily used by Spine Surgery, Orthopedic Surgery, Neurosurgery.
When is CPT 22858 used?
Used when two cervical intervertebral levels require total disc arthroplasty for symptomatic degenerative disease.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.