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CPT code 22862: Disc revision, lumbar, one interspace2026 Medicare rate & RVUs

Revision or replacement of a lumbar artificial disc through an anterior approach is reported when an existing total disc prosthesis at one interspace requires operative correction.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $2,267.92 for 22862 nationally in a facility.

Medicare rate · 22862

Disc revision, lumbar, one interspace

Office or facility?

Work RVUs
31.81
Total RVUs
67.90
Global days
090

National rate · 2026

$2,267.92

Facility setting, before claim adjustments.

See every locality for 22862 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 22862 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 22862 covers

This service addresses a previously implanted total artificial disc in a single lumbar interspace through an anterior approach, with revision or replacement work on the prosthesis. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, commonly perform it in an operating room. The operative work may include exposing the disc space, correcting the implant problem, and placing a replacement prosthesis.

Report one unit for the treated interspace and document the prior implant, level, reason for revision, and work performed, including whether a replacement was placed. Medicare pays only in specific circumstances, so the record must support the applicable coverage circumstances. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others receive the standard 50% reduction. Modifier 50 is inappropriate for this descriptor and anatomy. An assistant at surgery may be paid; co-surgeons and team surgery are permitted.

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.

Where 22862 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

22862 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,978.43
AlaskaUnavailable$2,646.61
ArizonaUnavailable$2,179.79
ArkansasUnavailable$1,943.42
Atlanta, GAUnavailable$2,373.51
Austin, TXUnavailable$2,262.69
Bakersfield, CAUnavailable$2,185.05
Baltimore area, MDUnavailable$2,446.59
Beaumont, TXUnavailable$2,167.97
Brazoria, TXUnavailable$2,170.78

22862 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
22862 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 22862 rate is calculated

Each of 22862’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.

How the rate is built · 22862

RVUs × geographic indexes × conversion factor

Office or facility?

Work31.81

31.81 RVUs× 1.000 GPCI

Practice expense22.64

22.64 RVUs× 1.000 GPCI

Malpractice13.45

13.45 RVUs× 1.000 GPCI

Adjusted RVUs

67.9000

Conversion factor

$33.4009

Medicare rate

$2,267.92

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 22862

22862 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 22862

Disc revision, lumbar, one interspace

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)2Permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 22862

Disc revision, lumbar, one interspace

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

22862 without 51 · national facility

$2,267.92

Disc revision, lumbar, one interspace

22862-51 · Second procedure: 50%

$1,133.96

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

22862 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 22862

    Disc revision, lumbar, one interspace31.81 wRVU

    Not priced

  • 22857

    Lumbar disc replacement, single interspace26.45 wRVU

    Not priced

  • 22865

    Disc removal, single lumbar interspace30.96 wRVU

    Not priced

  • 22861

    Disc revision, single cervical interspace32.53 wRVU

    Not priced

How to choose

22857Lumbar disc replacementSingle interspace
Choose 22857 for initial lumbar artificial disc implantation. Choose 22862 when an existing lumbar prosthesis is being revised or replaced.
22865Disc removalSingle lumbar interspace
22865 describes removal of a lumbar artificial disc without replacement; 22862 is for revision or replacement of the existing disc.
22861Disc revisionSingle cervical interspace
22861 describes revision or replacement of an artificial disc in a cervical interspace. This code is for a lumbar interspace.

Codes related to 22862

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

Codes related to 22862
CodeHow it relatesNational office range
Used instead
22857Lumbar disc replacement, single interspaceDescribes initial lumbar artificial disc implantation rather than revision of an existing prosthesis.No office rate
22865Disc removal, single lumbar interspaceDescribes lumbar artificial disc removal when replacement is not performed.No office rate
Same family
22861Disc revision, single cervical interspaceThe corresponding revision or replacement service is for a cervical interspace.No office rate

22862 billing questions

How does this differ from the initial lumbar disc replacement code?

Use this code when an existing lumbar artificial disc is revised or replaced. Code 22857 describes initial lumbar disc arthroplasty rather than revision of a prior prosthesis.

Can removal of the old disc be reported separately?

Do not separately report 22865 for removal of the same prosthesis when 22862 revision or replacement is performed. Code 22865 describes removal of a lumbar artificial disc without replacement.

How many units should be reported?

Report one unit for a single treated lumbar interspace. Document the level and the revision or replacement performed.

What documentation supports Medicare payment?

Document the prior lumbar disc implant, treated interspace, reason for operative revision, and work performed. Medicare payment is restricted to specific circumstances, so the record should support the applicable coverage circumstances.

May an assistant or co-surgeon be reported?

CMS indicates that an assistant at surgery may be paid and that co-surgeons and team surgery are permitted. The operative record should identify each surgeon's role and work.

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

Show the CMS file lines behind this rate
RVUs for 22862PPRRVU2026_Oct_nonQPP.csv, line 2,133 (RVU26D)

Open CMS sourceHow we calculate rates

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