CPT code 22862: Disc revision, lumbar, one interspace2026 Medicare rate & RVUs in Louisiana
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 doesn’t publish an office rate for 22862 in Louisiana.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | Unavailable | $2,284.40 |
| Rest of Louisiana | Unavailable | $2,162.09 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 2 | Permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share 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.
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%).
22862 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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