CPT code 22845: Anterior fixation, two to three vertebral segments2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $706.36 for 22845 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22845 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 22845 covers

22845 reports placement of anterior spinal fixation across two or three vertebral segments as part of a spine operation. A common example is an anterior cervical plate secured with screws across the operative vertebrae during cervical fusion; anterior fixation may also be used with thoracic or lumbar procedures. The work is typically performed by an orthopedic spine surgeon or neurosurgeon in an operating room. This code represents supplemental stabilization, not an interbody cage or the fusion itself.

Select the code based on the vertebral segments actually instrumented, not simply the number of disc spaces treated. The operative report should identify the anterior approach, device placement, segments spanned, and associated primary procedure. 22845 is an add-on code: report it only with an eligible primary procedure, and Medicare payment is handled within that procedure’s global period. It is not a standalone service. For fixation spanning more segments, use the applicable higher segment-count code when supported by the operative details.

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 22845

Across 109 of 109 payment localities, the facility rate for 22845 runs from $553.19 in Wisconsin to $849.60 in Miami, FL. Washington, DC area pays $706.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22845 rates by state

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

See 22845 in every payment locality

How the 22845 rate is calculated

Each of 22845’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 22845

The CMS indicators that decide how 22845 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22845

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

How 22845 has changed in Washington, DC area

Price 22845 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

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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