# CPT 22840

> Medicare paid $800.07 for CPT 22840 in the office (non-facility) setting and $800.07 in a facility under the Q3 2019 Physician Fee Schedule, effective July 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.1%.

## What it is

Metal hardware placed along the back of the spine to hold it still while a fusion heals, anchored only at the ends of the construct rather than gripping each vertebra along the way. Think of a rod fixed top and bottom, with the vertebrae in between spanned rather than individually gripped. It accompanies a spinal fusion rather than standing on its own, and it is distinguished from segmental fixation, where every level along the rod gets its own anchor point.

## Selected release

- Release: Q3 2019 (2019 C)
- Effective: July 1 – September 30, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $800.07
- Facility national allowed amount: $800.07
- Sequestration: not applied

## RVUs and formula

- Work RVU: 12.52
- Office (non-facility) practice expense RVU: 5.99
- Facility practice expense RVU: 5.99
- Malpractice RVU: 3.69
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19c.zip
- Parsed file: PPRRVU19_JUL.csv, row 6,328
- Canonical page: https://localishealth.com/cpt/22840/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/22840/2019/C
- Last significant update: 2026-08-04T03:09:02+00:00