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22841 Insert spine fixation device

What 22841 is

CMS fee schedule short descriptor: Insert spine fixation device.

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 22841 (CY2026)

This code has no Physician Fee Schedule rate: Bundled - payment is always bundled into another service. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 22841 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 22841? These codes are bundled into it

22841 is a Column 1 code in 10 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 codeShort descriptionModifier indicator
20650Insert and remove bone pin1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
38220Dx bone marrow aspirations0 - no modifier bypassCheck pair
38222Dx bone marrow bx & aspir0 - no modifier bypassCheck pair
38230Bone marrow harvest allogen0 - no modifier bypassCheck pair
38232Bone marrow harvest autolog0 - no modifier bypassCheck pair
63707Repair spinal fluid leakage1 - modifier may bypassCheck pair
63709Repair spinal fluid leakage1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

22841 is bundled into these codes

22841 appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, 22841 is the code that denies.

Column 1 codeShort descriptionModifier indicator
22840Insert spine fixation device1Check pair
22842Insert spine fixation device1Check pair
22843Insert spine fixation device1Check pair
22844Insert spine fixation device1Check pair
22849Reinsert spinal fixation0Check pair
22850Remove spine fixation device0Check pair
22852Remove spine fixation device0Check pair
22855Removal anterior instrmj0Check pair
22867Insj stablj dev w/dcmprn1Check pair
22868Insj stablj dev w/dcmprn1Check pair
22869Insj stablj dev w/o dcmprn1Check pair
22870Insj stablj dev w/o dcmprn1Check 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.