CPT 22548
Global 090 ActiveArthrd ant toral/xoral c1-c2
CPT 22548 Billing & Documentation Guide
CPT code 22548 (Arthrd ant toral/xoral c1-c2) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 26.38, a non-facility practice expense RVU of 20.66, and a malpractice RVU of 11.15, a total non-facility RVU of 58.19 and facility RVU of 58.19. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1938.05, though rates vary from $1656.9 to $2541.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 22548, 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 22548 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 22548 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 22548
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 26.38 | 26.38 |
| Practice Expense RVU | 20.66 | 20.66 |
| Malpractice RVU | 11.15 | 11.15 |
| Total RVU | 58.19 | 58.19 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 22548
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 | $1931.2 | $1931.2 | $1852.02 - $2172.73 | 29 |
| Florida | $2298.45 | $2298.45 | $2100.56 - $2541.32 | 3 |
| Georgia | $1986.36 | $1986.36 | $1940.58 - $2032.14 | 2 |
| Illinois | $2262.67 | $2262.67 | $2093.24 - $2435.5 | 4 |
| Michigan | $2053.27 | $2053.27 | $1931.61 - $2174.93 | 2 |
| North Carolina | $1762.92 | $1762.92 | $1762.92 - $1762.92 | 1 |
| New York | $2199.06 | $2199.06 | $1798.49 - $2449.58 | 5 |
| Ohio | $1886.54 | $1886.54 | $1886.54 - $1886.54 | 1 |
| Pennsylvania | $1963.08 | $1963.08 | $1866.53 - $2059.63 | 2 |
| Texas | $1911.26 | $1911.26 | $1855.05 - $2085.85 | 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 22548
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 22548 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 | Anesthesia service included in surgical procedure |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 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 22548
What does CPT code 22548 mean? +
CPT code 22548 represents: Arthrd ant toral/xoral c1-c2. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 22548? +
The 2026 Medicare national average non-facility payment for CPT 22548 is $1938.05. Rates range from $1656.9 to $2541.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 22548? +
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 22548? +
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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