`22328` Treat each add spine fx

What 22328 is

CMS fee schedule short descriptor: Treat each add spine fx.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 22328 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	4.49	1.51	1.56	7.56	$252.51
Facility (hospital, ASC)	4.49	1.51	1.56	7.56	$252.51

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.

Medically Unlikely Edit (MUE)

Medicare caps 22328 at 6 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 22328? These codes are bundled into it

22328 is a Column 1 code in 41 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0333T`	Visual ep scr acuity auto	0 - no modifier bypass	Check pair
`0464T`	Visual ep test for glaucoma	0 - no modifier bypass	Check pair
`20650`	Insert and remove bone pin	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`38220`	Dx bone marrow aspirations	0 - no modifier bypass	Check pair
`38222`	Dx bone marrow bx & aspir	0 - no modifier bypass	Check pair
`38230`	Bone marrow harvest allogen	0 - no modifier bypass	Check pair
`38232`	Bone marrow harvest autolog	0 - no modifier bypass	Check pair
`63707`	Repair spinal fluid leakage	1 - modifier may bypass	Check pair
`63709`	Repair spinal fluid leakage	1 - modifier may bypass	Check pair
`92652`	Aep thrshld est mlt freq i&r	0 - no modifier bypass	Check pair
`92653`	Aep neurodiagnostic i&r	0 - no modifier bypass	Check pair
`95822`	Eeg coma or sleep only	0 - no modifier bypass	Check pair
`95860`	Needle emg 1 extremity	0 - no modifier bypass	Check pair
`95861`	Needle emg 2 extremities	0 - no modifier bypass	Check pair
`95863`	Needle emg 3 extremities	0 - no modifier bypass	Check pair
`95864`	Needle emg 4 extremities	0 - no modifier bypass	Check pair
`95865`	Needle emg larynx	0 - no modifier bypass	Check pair
`95866`	Needle emg hemidiaphragm	0 - no modifier bypass	Check pair
`95867`	Ndl emg cranial nrv musc uni	0 - no modifier bypass	Check pair
`95868`	Ndl emg cranial nrv musc bi	0 - no modifier bypass	Check pair
`95869`	Ndl emg thrc paraspinal musc	0 - no modifier bypass	Check pair
`95907`	Nvr cndj tst 1-2 studies	0 - no modifier bypass	Check pair
`95908`	Nrv cndj tst 3-4 studies	0 - no modifier bypass	Check pair
`95909`	Nrv cndj tst 5-6 studies	0 - no modifier bypass	Check pair
`95910`	Nrv cndj test 7-8 studies	0 - no modifier bypass	Check pair
`95911`	Nrv cndj test 9-10 studies	0 - no modifier bypass	Check pair
`95912`	Nrv cndj test 11-12 studies	0 - no modifier bypass	Check pair
`95913`	Nrv cndj test 13/> studies	0 - no modifier bypass	Check pair

Showing 30 of 41 column 2 codes. Use the pair checker for any specific combination.

22328 is bundled into these codes

22328 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 22328 is the code that denies.

Column 1 code	Short description	Modifier indicator
`22818`	Kyphectomy 1-2 segments	1	Check pair
`22819`	Kyphectomy 3 or more	1	Check pair
`61575`	Skull base/brainstem surgery	1	Check pair
`61576`	Skull base/brainstem surgery	1	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.