Proposed wRVUs for 9 spine procedures

Spine

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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