CPT code 22847: Spinal fixation, anterior, 7–12 segments2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $687.53 for 22847 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22847 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 22847 covers

This code represents placement of anterior fixation across seven to twelve vertebral segments. A spine surgeon may use a plate-and-screw construct or other anterior fixation to stabilize a long spinal reconstruction, often during multilevel fusion. The surgeon approaches the spine from the front, such as through the neck for cervical surgery or through the chest or abdomen for thoracic or lumbar surgery. The segment count is based on the vertebral levels instrumented, not the number of screws or implants used.

Report this code as an add-on with an eligible primary procedure; it is not billed by itself. The operative report should identify the anterior approach, the instrumented vertebral segments, and the fixation placed. Select this level when the construct spans seven through twelve vertebral segments, rather than the shorter ranges represented by 22845 or 22846. CMS treats payment as part of the primary procedure’s global period, so the add-on is paid within that 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 Puerto Rico compares for 22847

Across 109 of 109 payment localities, the facility rate for 22847 runs from $615.28 in Wisconsin to $878.25 in Alaska. Puerto Rico pays $687.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22847 rates by state

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

See 22847 in every payment locality

How the 22847 rate is calculated

Each of 22847’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 22847

The CMS indicators that decide how 22847 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22847

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

How 22847 has changed in Puerto Rico

Price 22847 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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