CPT 22552
Global ZZZ ActiveArthrd ant ntrbd cervical ea
CPT 22552 Billing & Documentation Guide
CPT code 22552 (Arthrd ant ntrbd cervical ea) is classified under Surgery (Musculoskeletal) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.34, a non-facility practice expense RVU of 2.13, and a malpractice RVU of 2.1, a total non-facility RVU of 10.57 and facility RVU of 10.57. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $350.37, though rates vary from $301.52 to $463.21 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 22552, 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 22552 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 5 units of 22552 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 22552
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.34 | 6.34 |
| Practice Expense RVU | 2.13 | 2.13 |
| Malpractice RVU | 2.1 | 2.1 |
| Total RVU | 10.57 | 10.57 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 22552
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 | $341.57 | $341.57 | $330.93 - $375.24 | 29 |
| Florida | $419.69 | $419.69 | $385.2 - $463.21 | 3 |
| Georgia | $363.88 | $363.88 | $358.83 - $368.92 | 2 |
| Illinois | $415.29 | $415.29 | $386.35 - $445.72 | 4 |
| Michigan | $377.29 | $377.29 | $355.91 - $398.67 | 2 |
| North Carolina | $322.96 | $322.96 | $322.96 - $322.96 | 1 |
| New York | $396.53 | $396.53 | $328.66 - $440.16 | 5 |
| Ohio | $347.42 | $347.42 | $347.42 - $347.42 | 1 |
| Pennsylvania | $358.34 | $358.34 | $343.36 - $373.31 | 2 |
| Texas | $348.12 | $348.12 | $338.67 - $380.62 | 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 22552
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 22552 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11042 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11043 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11044 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11045 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11046 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 22552
What does CPT code 22552 mean? +
CPT code 22552 represents: Arthrd ant ntrbd cervical ea. It's in the Surgery (Musculoskeletal) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 22552? +
The 2026 Medicare national average non-facility payment for CPT 22552 is $350.37. Rates range from $301.52 to $463.21 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 22552? +
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 22552? +
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 May 31, 2026.
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