22868 Insj stablj device with dcmprn
Also known as: Interspinous device add-on with decompression, Additional spacer device
Insertion of interspinous process stabilization device without interbody arthrodesis, including endplate preparation, with decompression of spinal cord and/or nerve roots; each additional interspace.
In Plain Language
Extra spacer device with nerve relief; Additional stenosis relief
Clinical Context
Add-on code for multi-level interspinous stabilization with decompression; used for multi-level lumbar stenosis.
RVU Breakdown
| Work RVU | 3.90 |
| Total RVU | 3.90 |
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 3.90, this code ranks in the 27th percentile among Surgery codes — 2.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22868?
CPT 22868 (Insj stablj device with dcmprn) is a Surgery code. Insertion of interspinous process stabilization device without interbody arthrodesis, including endplate preparation, with decompression of spinal cord and/or nerve roots; each additional interspace.
What is the wRVU value for CPT 22868?
The work RVU for CPT 22868 is 3.90. This code is primarily used by Spine Surgery, Orthopedic Surgery.
When is CPT 22868 used?
Add-on code for multi-level interspinous stabilization with decompression; used for multi-level lumbar stenosis.
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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.