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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
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 |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
22840 | Insert spine fixation device | 1 | Check pair |
22842 | Insert spine fixation device | 1 | Check pair |
22843 | Insert spine fixation device | 1 | Check pair |
22844 | Insert spine fixation device | 1 | Check pair |
22849 | Reinsert spinal fixation | 0 | Check pair |
22850 | Remove spine fixation device | 0 | Check pair |
22852 | Remove spine fixation device | 0 | Check pair |
22855 | Removal anterior instrmj | 0 | Check pair |
22867 | Insj stablj dev w/dcmprn | 1 | Check pair |
22868 | Insj stablj dev w/dcmprn | 1 | Check pair |
22869 | Insj stablj dev w/o dcmprn | 1 | Check pair |
22870 | Insj stablj dev w/o dcmprn | 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.