CPT 22804
Arthrd pst dfrm 13+ vrt sgm
CPT 22804 at a glance
- Code
- 22804
- Code type
- CPT/HCPCS
- Short descriptor
- Arthrd pst dfrm 13+ vrt sgm
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $13,933.19 national · 2026Q2
What is CPT code 22804?
CPT 22804 is a CPT/HCPCS procedure code. Its official short descriptor is "Arthrd pst dfrm 13+ vrt sgm". In the ASC context it is grouped under ASC Surgical.
Is CPT 22804 eligible in an ambulatory surgery center (ASC)?
CPT 22804 can be performed in a certified ambulatory surgery center.
Where is CPT 22804 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 22804?
The national Medicare ASC payment rate for CPT 22804 is $13,933.19 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 22804?
CPT 22804 is most associated with General Surgery, Ortho – Spine, Orthopaedic Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.