CPT code 22843: Spinal fixation, 7–12 vertebral segments2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $794.53 for 22843 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22843 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 22843 covers

Code 22843 represents posterior segmental fixation spanning 7 through 12 vertebral segments. Typical constructs use pedicle screws and rods or other segmental anchors, such as multiple hooks or sublaminar wires, to stabilize a long portion of the spine. Orthopedic spine surgeons and neurosurgeons commonly place this instrumentation during facility-based operations for spinal fusion, deformity correction, or extensive instability.

Choose the code by counting the vertebral segments instrumented, not the disc spaces fused. The operative report should identify the spinal levels and describe the fixation construct so the 7–12 segment span is supported. This is an add-on code: report it only with an appropriate primary procedure. CMS pays it within that primary procedure’s global period, rather than assigning it a separate global period.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 22843

Across 109 of 109 payment localities, the facility rate for 22843 runs from $622.68 in Wisconsin to $954.61 in Miami, FL. Washington, DC area pays $794.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22843 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 22843 in every payment locality

How the 22843 rate is calculated

Each of 22843’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 22843

The CMS indicators that decide how 22843 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22843

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 22843 has changed in Washington, DC area

Price 22843 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates