Proposed RVU's for Pain Surgery CPT's

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drusso

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Proposed wRVUs for 9 spine procedures

The International Society for the Advancement of Spine Surgery shared CMS' 2023 proposed work relative value units for nine spine procedures compared to expert recommendations.

The recommendations were formed by the American Medical Association/Multi-Specialty Society Relative Value Update Committee, ISASS said Sept. 9.


Here are the procedures with their proposed CMS and RUC wRVUs for 2023:


CPT code: 22630 (PLIF with minimal decompression first level)

2022 wRVU: 22.09

2023 proposed CMS wRUV: 20.42

2023 proposed RUC wRVU: 22.09


CPT code: 22632 (PLIF with minimal decompression additional level)

2022 wRVU: 5.22

2023 proposed CMS wRUV: 5.22

2023 proposed RUC wRVU: 5.22


CPT code: 22633 (TLIF with minimal decompression first level)

2022 wRVU: 27.75

2023 proposed CMS wRUV: 24.83

2023 proposed RUC wRVU: 26.80


CPT code: 22634 (TLIF w/minimal decompression additional level)

2022 wRVU: 8.16

2023 proposed CMS wRUV: 7.30

2023 proposed RUC wRVU: 7.96


CPT code: 63052 (lumbar decompression with arthrodesis first level)

2022 wRVU: N/A

2023 proposed CMS wRUV: 4.25

2023 proposed RUC wRVU: 5.70


CPT code: 63053 (lumbar decompression with arthrodesis first level)

2022 wRVU: N/A

2023 proposed CMS wRUV: 5.00

2023 proposed RUC wRVU: 3.78


CPT code: 63020 (laminotomy cervical first level)

2022 wRVU: 16.20

2023 proposed CMS wRUV: 14.91

2023 proposed RUC wRVU: 15.96


CPT code: 63030 (laminotomy lumbar first level)

2022 wRVU: 13.18

2023 proposed CMS wRUV: 12.00

2023 proposed RUC wRVU: 13.18


CPT code: 63035 (laminotomy cervical or lumbar additional level)

2022 wRVU: 3.15

2023 proposed CMS wRUV: 3.86

2023 proposed RUC wRVU: 4.00

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Who is doing cervical laminotomies? What procedure is this?
 
Who is doing cervical laminotomies? What procedure is this?
that is done to decompress when you have a myelopathy. big posterior midline incision. that is clearly the domain of ortho or neuro-spine
 
that is done to decompress when you have a myelopathy. big posterior midline incision. that is clearly the domain of ortho or neuro-spine
Ah, I thought there was a new “pain procedure” that was using creative definition to bill as surgery. But this is straight up surgery…
 
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