CPT code 22846: Spinal fixation, anterior, four to seven segments2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $660.23 for 22846 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22846 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 22846 covers

This code represents an anteriorly placed fixation construct spanning four to seven vertebral segments. A spine surgeon may use a plate-and-screw construct to stabilize the spine during an anterior fusion, such as multilevel cervical fusion, or another qualifying spinal operation. The construct’s approach and span distinguish this service from posterior fixation and from a device placed within an interspace.

Select the code by counting the vertebral segments instrumented, not the number of screws or the number of disc spaces treated. The operative report should identify the anterior approach and the segments spanned by the fixation construct. This is an add-on code: report it only with a qualifying primary procedure, not by itself. CMS payment is tied to the primary procedure’s 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 Delaware compares for 22846

Across 109 of 109 payment localities, the facility rate for 22846 runs from $574.98 in Wisconsin to $883.71 in Miami, FL. Delaware pays $660.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22846 rates by state

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

See 22846 in every payment locality

How the 22846 rate is calculated

Each of 22846’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 22846

The CMS indicators that decide how 22846 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22846

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

How 22846 has changed in Delaware

Price 22846 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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