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.

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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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