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Billing code 22848: Pelvic fixationMedicare rate & RVUs

Reports pelvic anchoring of spinal instrumentation to pelvic bone other than the sacrum, as an add-on to an eligible primary instrumentation procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities10.5K Medicare services in 2024

Medicare pays $317.64 for 22848 nationally in a facility.

Medicare rate · 22848

Pelvic fixation

Work RVUs
5.84
Total RVUs
9.51
Global days
ZZZ

National rate · 2026

$317.64

Facility setting, before claim adjustments.

See every locality for 22848 →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.

On this page 10 sections
  1. Medicare rate
  2. What 22848 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 22848 covers

Code 22848 captures the pelvic anchor at the lower end of spinal instrumentation when fixation is attached to pelvic bone other than the sacrum, commonly through iliac fixation. Orthopedic spine surgeons and neurosurgeons report it during instrumented lumbosacral fusion or long constructs for spinal deformity when the construct is extended into the pelvis. It represents the pelvic fixation service, not a count of individual screws.

Report 22848 only with an eligible primary spinal instrumentation procedure, such as 22840 or 22842–22844; it is not a stand-alone line. Select the primary instrumentation code by its own construct and segment criteria, then report 22848 when operative documentation shows attachment of the caudal construct to pelvic bone. The operative report should identify the pelvic anchor site and its connection to the spinal construct. CMS pays this add-on within 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.

Where 22848 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

22848 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$284.36
Alaska*Unavailable$393.27
ArizonaUnavailable$307.28
ArkansasUnavailable$280.37
AtlantaUnavailable$330.94
AustinUnavailable$315.15
BakersfieldUnavailable$304.81
Baltimore/Surr. CntysUnavailable$339.24
BeaumontUnavailable$307.71
BrazoriaUnavailable$305.84

22848 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

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
22848 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 22848 rate is calculated

Each of 22848’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 · 22848

RVUs × geographic indexes × conversion factor

Work5.84

5.84 RVUs× 1.000 GPCI

Practice expense1.93

1.93 RVUs× 1.000 GPCI

Malpractice1.74

1.74 RVUs× 1.000 GPCI

Adjusted RVUs

9.5100

Conversion factor

$33.4009

Medicare rate

$317.64

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

Payment rules and modifiers for 22848

The CMS indicators that decide how 22848 is paid alongside other services.

CMS payment indicators · 22848

Pelvic fixation

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

22848 without 80 · national facility

$317.64

Pelvic fixation

22848-80 · Assistant: 16%

$50.82

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

22848 compared with similar codes

Compare codes · National

5 codes, side by side

  • 22848

    Pelvic fixation5.84 wRVU

    Not priced

  • 22840

    Spinal fixation12.21 wRVU

    Not priced

  • 22842

    Spinal fixation12.25 wRVU

    Not priced

  • 22843

    Spinal fixation13.1 wRVU

    Not priced

  • 22844

    Spinal fixation16.01 wRVU

    Not priced

How to choose

22840Spinal fixation
22840 reports nonsegmental spinal fixation. Add 22848 when the caudal end of an eligible construct is also anchored to pelvic bone other than the sacrum.
22842Spinal fixation
22842 is the primary segmental instrumentation code for a 3–6 vertebral-segment construct; 22848 separately reports its pelvic anchoring when performed.
22843Spinal fixation
22843 is the primary segmental instrumentation code for a 7–12 vertebral-segment construct; 22848 identifies the additional pelvic fixation.
22844Spinal fixation
22844 is the primary segmental instrumentation code for a construct of 13 or more vertebral segments; 22848 reports pelvic anchoring separately.

Codes related to 22848

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

Codes related to 22848
CodeHow it relatesNational office range
Primary code
22840Spinal fixationEligible primary nonsegmental spinal fixation procedure for pelvic fixation.No office rate
22842Spinal fixationEligible primary segmental instrumentation code for a 3–6 vertebral-segment construct.No office rate
22843Spinal fixationEligible primary segmental instrumentation code for a 7–12 vertebral-segment construct.No office rate
22844Spinal fixationEligible primary segmental instrumentation code for a construct of 13 or more vertebral segments.No office rate

22848 billing questions

What distinguishes 22848 from 22842–22844?

Those codes describe the spinal instrumentation construct by vertebral segment range. Code 22848 reports the additional pelvic anchoring of that construct.

Which primary codes can be reported with 22848?

Report it with an eligible primary instrumentation code, including 22840 or 22842–22844. It cannot be billed as a stand-alone procedure.

Does 22848 describe fixation to the sacrum?

It describes attachment to pelvic bone other than the sacrum, such as iliac fixation. Sacral-only fixation does not meet that distinction.

Is 22848 reported per screw or per side?

The code represents the pelvic fixation service, not each individual screw. Do not derive claim units from the number of implanted screws.

How does the global-period payment work?

CMS treats 22848 as an add-on and pays it within the global period of the primary procedure. The claim must include an eligible primary procedure.

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 22848PPRRVU2026_Oct_nonQPP.csv, line 2,120 (RVU26D)

Open CMS sourceHow we calculate rates

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