CPT 22533
Global 090 ActiveArthrd lat xtrcvtry tq lmbr
CPT 22533 Billing & Documentation Guide
CPT code 22533 (Arthrd lat xtrcvtry tq lmbr) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 24.17, a non-facility practice expense RVU of 15.51, and a malpractice RVU of 6.66, a total non-facility RVU of 46.34 and facility RVU of 46.34. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1554.85, though rates vary from $1366.86 to $1909.16 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 22533, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 22533 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 22533 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 22533
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 24.17 | 24.17 |
| Practice Expense RVU | 15.51 | 15.51 |
| Malpractice RVU | 6.66 | 6.66 |
| Total RVU | 46.34 | 46.34 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 22533
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1569.86 | $1569.86 | $1508.04 - $1762.36 | 29 |
| Florida | $1760.11 | $1760.11 | $1636.9 - $1909.16 | 3 |
| Georgia | $1568.89 | $1568.89 | $1534.56 - $1603.22 | 2 |
| Illinois | $1735.79 | $1735.79 | $1627.97 - $1844.11 | 4 |
| Michigan | $1606.85 | $1606.85 | $1531.42 - $1682.27 | 2 |
| North Carolina | $1432.78 | $1432.78 | $1432.78 - $1432.78 | 1 |
| New York | $1725.94 | $1725.94 | $1455.83 - $1888.02 | 5 |
| Ohio | $1504.51 | $1504.51 | $1504.51 - $1504.51 | 1 |
| Pennsylvania | $1559.79 | $1559.79 | $1493.08 - $1626.5 | 2 |
| Texas | $1528.39 | $1528.39 | $1485.38 - $1634.27 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 22533
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 22533 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0333T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0464T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0566T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 22533
What does CPT code 22533 mean? +
CPT code 22533 represents: Arthrd lat xtrcvtry tq lmbr. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 22533? +
The 2026 Medicare national average non-facility payment for CPT 22533 is $1554.85. Rates range from $1366.86 to $1909.16 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 22533? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 22533? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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