CPT 22858
Global ZZZ ActiveTot disc arthrp 2nd lvl crv
CPT 22858 Billing & Documentation Guide
CPT code 22858 (Tot disc arthrp 2nd lvl crv) is classified under Surgery (Musculoskeletal) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 8.19, a non-facility practice expense RVU of 2.72, and a malpractice RVU of 2.54, a total non-facility RVU of 13.45 and facility RVU of 13.45. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $446.57, though rates vary from $386.72 to $582.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 22858, 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 22858 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 1 units of 22858 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 22858
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.19 | 8.19 |
| Practice Expense RVU | 2.72 | 2.72 |
| Malpractice RVU | 2.54 | 2.54 |
| Total RVU | 13.45 | 13.45 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 22858
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 | $436.87 | $436.87 | $423.25 - $480.12 | 29 |
| Florida | $529.86 | $529.86 | $487.92 - $582.68 | 3 |
| Georgia | $462.15 | $462.15 | $455.72 - $468.57 | 2 |
| Illinois | $524.42 | $524.42 | $489.1 - $561.48 | 4 |
| Michigan | $478.27 | $478.27 | $452.28 - $504.26 | 2 |
| North Carolina | $412.53 | $412.53 | $412.53 - $412.53 | 1 |
| New York | $503.22 | $503.22 | $419.5 - $556.63 | 5 |
| Ohio | $442.02 | $442.02 | $442.02 - $442.02 | 1 |
| Pennsylvania | $455.7 | $455.7 | $437.13 - $474.26 | 2 |
| Texas | $443.3 | $443.3 | $431.95 - $482.69 | 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 22858
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 22858 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 | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 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 |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 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 |
Frequently Asked Questions, CPT 22858
What does CPT code 22858 mean? +
CPT code 22858 represents: Tot disc arthrp 2nd lvl crv. It's in the Surgery (Musculoskeletal) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 22858? +
The 2026 Medicare national average non-facility payment for CPT 22858 is $446.57. Rates range from $386.72 to $582.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 22858? +
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 22858? +
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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