# CPT 22842

> Medicare paid $804.39 for CPT 22842 in the office (non-facility) setting and $804.39 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 2019, when it increased 0.2%.

## What it is

Rod-and-anchor hardware fixed to the back of the spine with an attachment at each vertebral level in the construct, spanning a short-to-moderate stretch of roughly three to six segments. Gripping every level gives firmer control of alignment than end-only fixation. It goes with a fusion rather than being done alone, and longer constructs covering more segments are reported with different codes in the same family.

## Selected release

- Release: Q3 2019 (2019 C)
- Effective: July 1 – September 30, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $804.39
- Facility national allowed amount: $804.39
- Sequestration: not applied

## RVUs and formula

- Work RVU: 12.56
- Office (non-facility) practice expense RVU: 6.00
- Facility practice expense RVU: 6.00
- Malpractice RVU: 3.76
- 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 6,330
- Canonical page: https://localishealth.com/cpt/22842/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/22842/2019/C
- Last significant update: 2026-08-04T03:09:02+00:00