{"id":180130,"date":"2026-08-14T08:26:39","date_gmt":"2026-08-14T08:26:39","guid":{"rendered":"https:\/\/pabau.com\/?p=180130"},"modified":"2026-08-14T09:05:17","modified_gmt":"2026-08-14T09:05:17","slug":"cpt-code-22548","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-22548\/","title":{"rendered":"CPT code 22548: Arthrodesis, anterior transoral or extraoral technique"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 22548: Arthrodesis, anterior transoral or extraoral technique\",\"description\":\"CPT code 22548 covers arthrodesis via anterior transoral or extraoral technique at the clivus-C1-C2 (atlas-axis) level. Learn modifiers, RVU values, ICD-10 pairings, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-22548\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-10\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 22548 covers arthrodesis via anterior transoral or extraoral technique at the clivus-C1-C2 level, with or without excision of the odontoid process.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Modifier 22 draws the most payer scrutiny on this code, so documentation must justify the added complexity in specific terms.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The operative report must name the approach used and state whether odontoid excision was performed, since both variants bill under one code.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Medicare pays the same amount in facility and office settings for this code, roughly $1,943.60 nationally in 2026.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau helps orthopedic and neurosurgery teams track CPT 22548 claims and catch missing documentation before submission.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 22548 covers arthrodesis by anterior transoral or extraoral technique at the clivus-C1-C2 (atlas-axis) level. The descriptor adds \u00abwith or without excision of odontoid process\u00bb, so one code covers both variants. The <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association (AMA)<\/a> maintains it in the CPT code set.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code sits in the 22548-22586 range for anterior and anterolateral approach arthrodesis. The AMA&#8217;s CPT Editorial Panel maintains that range and revises it each year.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The clivus-C1-C2 construct refers to the junction of the skull base (clivus), the atlas (C1), and the axis (C2). Fusion at this level is rare and technically demanding. It is typically indicated for atlantoaxial instability, odontoid fractures, rheumatoid pannus, or congenital anomalies such as os odontoideum.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two surgeons often share the case, because transoral access may need an ENT colleague to open and close. That shapes both the operative report and the modifiers you append.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">22548<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, anterior transoral or extraoral technique; clivus-C1-C2 (atlas-axis), with or without excision of odontoid process<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code range<\/td>\n<td style=\"padding:12px 16px;color:#374151\">22548-22586 (anterior\/anterolateral approach spinal procedures)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Procedure category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spinal arthrodesis (surgical fusion)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Spinal level<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clivus, C1 (atlas), C2 (axis)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">090 days (major surgical procedure)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-transoral-vs-extraoral-why-the-distinction-matters-for-billing\" class=\"wp-block-heading\">Transoral vs. extraoral: Why the distinction matters for billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Both surgical approaches share the same CPT code, but they are procedurally distinct. The transoral approach reaches the upper cervical spine through the mouth, often requiring a temporary tracheostomy and palatal incision. The extraoral approach reaches the same anatomy through an external cervical or retropharyngeal incision.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Neither carries a separate CPT code, but the operative report must name the approach used. Payers increasingly request operative note excerpts on audit. A report that only says \u00abanterior approach\u00bb invites additional documentation requests and delays payment.<\/p>\n\n\n\n<h2 id=\"h-cpt-code-22548-modifiers\" class=\"wp-block-heading\">CPT code 22548 modifiers<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier selection for CPT code 22548 is a common audit trigger. The procedure&#8217;s rarity and high reimbursement value make it a target for payer scrutiny, particularly when modifier 22 is appended. Review these modifiers against the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT code reference<\/a> before submitting.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Name<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use with 22548<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Documentation required<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Increased procedural services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Procedure was substantially more complex than typical. Examples: severe deformity, revision after failed fusion, morbid obesity complicating access.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Operative report must quantify the additional time and complexity. A letter of medical necessity is recommended.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiple procedures<\/td>\n<td style=\"padding:12px 16px;color:#374151\">22548 performed alongside another reportable procedure on the same date<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Document each procedure separately in the operative report. Confirm NCCI edit compatibility.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Distinct procedural service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bypass an NCCI bundling edit when 22548 is performed at a distinct site or session from another bundled procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Document clearly that the procedures were distinct. Use XS, XU, XE, or XP where the payer allows.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two surgeons<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two surgeons with different skills each perform distinct parts of the procedure, such as an ENT co-surgeon opening the transoral corridor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each surgeon submits separately with modifier 62. Both operative reports must set out that surgeon&#8217;s role.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">80<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Assistant surgeon<\/td>\n<td style=\"padding:12px 16px;color:#374151\">An assistant surgeon took part in the procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Confirm the payer allows an assistant surgeon for this code. Medicare restricts assistant surgeon billing on some spinal codes.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Modifier 22 caution:<\/strong> The Centers for Medicare and Medicaid Services (CMS) and commercial payers scrutinize modifier 22 on high-value surgical codes. Appending it routinely, without specific and quantified documentation of unusual complexity, is a top audit trigger.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A letter explaining the clinical factors that increased operative time, attached to the claim, significantly reduces the risk of denial or recoupment.<\/p>\n\n\n\n<h2 id=\"h-medicare-reimbursement-for-cpt-code-22548\" class=\"wp-block-heading\">Medicare reimbursement for CPT code 22548<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare payment for CPT code 22548 comes from the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Medicare Physician Fee Schedule (MPFS)<\/a>. The rate is the procedure&#8217;s relative value units (RVUs) multiplied by the annual conversion factor, then adjusted for geographic practice cost index (GPCI). Rates update each January in the MPFS final rule.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The figures below reflect current CMS data for 2026. Verify the rate for your locality with the CMS MPFS lookup tool before quoting patients or filing claims.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Setting<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Approximate Medicare payment (national average)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Facility (hospital\/ASC)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Approximately $1,943.60 (2026 national average)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The hospital bills facility charges separately under OPPS. The surgeon bills the professional component only.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Non-facility (office)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Approximately $1,943.60 (2026 national average)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Identical to the facility rate. The practice expense RVU is 20.66 in both settings, so there is no office premium.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">In practice the procedure is performed in a hospital, so the office rate is theoretical. Commercial payer rates vary considerably and are usually negotiated as a percentage of Medicare or through contracted fee schedules.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some payers use case-rate or global bundled payment arrangements for spinal fusion. Always verify the payer-specific allowed amount before estimating patient responsibility.<\/p>\n\n\n\n<h2 id=\"h-rvu-values-for-cpt-code-22548\" class=\"wp-block-heading\">RVU values for CPT code 22548<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Relative value units (RVUs) quantify the physician work, practice expense, and malpractice cost of a procedure. For CPT code 22548, the work RVU reflects the complexity and risk of operating at the craniocervical junction. Use the <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU lookup<\/a> for current-year figures, then check them against the CMS data file.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Relative magnitude for 22548<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU (wRVU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physician effort, skill, time, and risk<\/td>\n<td style=\"padding:12px 16px;color:#374151\">High. Upper cervical fusion carries significant intraoperative risk and extended operative time.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice expense RVU (PE)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Overhead costs (staff, supplies, equipment)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">20.66 in 2026, and the same in facility and non-facility settings.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU (MP)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Professional liability insurance cost<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Elevated for high-complexity spinal procedures.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sum x conversion factor x GPCI = Medicare payment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Confirm the current-year conversion factor with the CMS MPFS lookup tool.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The conversion factor changes annually. The CMS MPFS final rule, published in November for the following calendar year, is the authoritative source. Practice managers should update their fee schedule each January to reflect the new conversion factor and any RVU revaluations for spinal codes.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run an RVU audit on your spinal surgery codes each January. CMS revalues specific procedure families in the annual MPFS final rule, and 22548 falls in a code range that has seen adjustments. A one-RVU change on a high-volume procedure translates directly to revenue impact across the full year.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-icd-10-diagnosis-codes-paired-with-cpt-22548\" class=\"wp-block-heading\">ICD-10 diagnosis codes paired with CPT 22548<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every claim for CPT code 22548 must carry an ICD-10-CM diagnosis code that establishes medical necessity. Linking an unsupported diagnosis to secure coverage is fraudulent upcoding. Assign only codes that reflect the patient&#8217;s documented clinical condition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The codes below cover the diagnoses for which C1-C2 arthrodesis is clinically appropriate. Cervical codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-m47812\/\">M47.812<\/a> and <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-m451\/\">M45.1<\/a> carry their own specificity rules, so confirm the documented level first.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical context for 22548<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M43.3<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Recurrent atlantoaxial subluxation with myelopathy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary indication. Instability causing spinal cord compromise.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M43.4<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other recurrent atlantoaxial subluxation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Instability without myelopathy. Less common as a primary indication.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S12.100A-S12.100S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified displaced fracture of second cervical vertebra<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Odontoid fracture requiring surgical fusion. Use the appropriate encounter suffix.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q76.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Klippel-Feil syndrome<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Congenital cervical anomaly with instability requiring fusion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M05.8X1-M05.8X9<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other rheumatoid arthritis with rheumatoid factor, site-specific<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rheumatoid pannus causing C1-C2 instability. Select the cervical spine site.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M48.02<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spinal stenosis, cervical region<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stenosis at the craniocervical junction where fusion is warranted<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">CMS Local Coverage Article A59668 governs billing and coding for cervical fusion procedures, including CPT code 22548. Individual Medicare Administrative Contractors (MACs) may impose additional coverage criteria. Verify your MAC&#8217;s local coverage determination (LCD) before submitting claims for this procedure.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-cpt-22548\" class=\"wp-block-heading\">Documentation requirements for CPT 22548<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Surgical documentation for CPT code 22548 must support medical necessity and describe the procedure performed. Incomplete operative reports are the leading cause of claim denials and audit recoupments for high-complexity spinal codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The checklist below reflects what CMS and commercial payers require, alongside the <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA-compliant documentation practices<\/a> that govern surgical records.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Approach type:<\/strong> State explicitly whether the transoral or extraoral approach was used. \u00abAnterior cervical approach\u00bb alone is insufficient.<\/li>\n\n\n\n<li><strong>Spinal levels addressed:<\/strong> Confirm the procedure involved the clivus, C1, and C2 as appropriate. If only C1-C2 was fused without clivus involvement, document that.<\/li>\n\n\n\n<li><strong>Odontoid excision:<\/strong> State whether excision of the odontoid process was performed. Both variants bill under 22548, but the note must specify which one occurred.<\/li>\n\n\n\n<li><strong>Medical necessity narrative:<\/strong> Document the clinical indication (instability, fracture, rheumatoid involvement, congenital anomaly) with supporting imaging references (MRI, CT, flexion-extension X-rays).<\/li>\n\n\n\n<li><strong>Pre-operative imaging:<\/strong> Reference the pre-operative CT and MRI findings, such as the cervical MRI billed under <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-72141\/\">72141<\/a>, in the operative note. Payers may request these on audit.<\/li>\n\n\n\n<li><strong>Instrumentation and graft:<\/strong> Document the fixation hardware and bone graft used. These may trigger additional CPT codes such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20939\/\">20939<\/a>, so make sure the claim reflects every reportable service.<\/li>\n\n\n\n<li><strong>Operative time:<\/strong> If modifier 22 is appended, document the operative time recorded against the expected time for a typical case.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-related-cpt-codes-and-when-to-use-them\" class=\"wp-block-heading\">Related CPT codes and when to use them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 22548 is one code in a broader cervical fusion family. Choosing the wrong code for the approach or the spinal level is a top source of denials for spinal practices. The table below compares 22548 with the codes closest to it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fracture and device codes sit alongside that family. When an odontoid fracture is treated by fixation rather than clivus-C1-C2 fusion, <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-22318\/\">22318<\/a> may describe the service instead. Device codes such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-22853\/\">22853<\/a> are reported separately when a biomechanical interbody device is placed.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor (abbreviated)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Approach<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Level<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key differentiator from 22548<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22548<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, anterior transoral\/extraoral; clivus-C1-C2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anterior (transoral or extraoral)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clivus, C1, C2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The code being referenced<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22551<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, anterior interbody, with decompression; single interspace<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anterior<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cervical, below C2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Includes decompression and discectomy. Covers one interspace below C2, never the clivus or C1.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22552<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, anterior interbody, with decompression; each additional interspace (add-on)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anterior<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each additional cervical interspace<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Add-on to 22551 only. Not used with 22548.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22554<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, anterior interbody; single interspace<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Anterior<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cervical, below C2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same level range as 22551, but with no decompression or discectomy. Cannot be used for clivus-C1-C2.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22600<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, posterior or posterolateral; single level<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Posterior<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cervical, below C2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Posterior approach, so a different surgical corridor from 22548<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22612<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthrodesis, posterior or posterolateral; lumbar, single level<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Posterior<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lumbar<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lumbar spine, an entirely different anatomical region<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The most frequent misuse is substituting 22551 for 22548 when the procedure involved the clivus-C1-C2 complex. Codes 22551 and 22554 describe surgery at a single interspace below C2 through the standard anterior cervical approach. They do not cover the transoral or extraoral routes used to reach the craniocervical junction.<\/p>\n\n\n\n<h2 id=\"h-common-billing-errors-and-claim-denials-for-cpt-22548\" class=\"wp-block-heading\">Common billing errors and claim denials for CPT 22548<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Denials for CPT code 22548 follow predictable patterns. Most of them fall into five categories.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Wrong code for the approach:<\/strong> Billing 22551 when the surgeon used a transoral or extraoral technique for clivus-C1-C2 fusion. These are not interchangeable. The operative report&#8217;s description of the surgical corridor determines the correct code.<\/li>\n\n\n\n<li><strong>Undocumented odontoid status:<\/strong> The descriptor includes \u00abwith or without excision of odontoid process.\u00bb Claims are denied when the operative report does not confirm whether excision occurred. Payers treat ambiguity as insufficient documentation.<\/li>\n\n\n\n<li><strong>Unsupported modifier 22:<\/strong> Appending modifier 22 without quantifying the increased complexity and time. A generic statement such as \u00abprocedure was complex\u00bb does not meet documentation standards. Record the operative time and compare it to a typical case.<\/li>\n\n\n\n<li><strong>Missing prior authorization:<\/strong> Submitting the claim without a valid PA number when the payer required pre-authorization. Most major commercial payers require PA for elective spinal fusion. Verify before the date of service, not after.<\/li>\n\n\n\n<li><strong>NCCI edit conflicts:<\/strong> Billing 22548 alongside another spinal procedure that is bundled under NCCI edits, with no modifier justification. Review the NCCI edit table for this code before adding modifier 59 or an X-modifier.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The National Correct Coding Initiative (NCCI) edits are the primary bundling framework for Medicare claims. Commercial payers may apply different bundling logic. Check the payer&#8217;s medical policy before submitting concurrent spinal procedure codes on one claim.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Flag every CPT 22548 claim for a documentation review before you submit it. Check that the operative report names the approach, confirms odontoid excision status, and supports every modifier appended. A 10-minute review prevents a 60-day denial cycle.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-prior-authorization-for-cpt-22548\" class=\"wp-block-heading\">Prior authorization for CPT 22548<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Prior authorization is required for CPT code 22548 by most commercial payers. The procedure&#8217;s cost, surgical complexity, and rarity mean payers apply heightened scrutiny before approving coverage.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare fee-for-service does not require prior authorization for most spinal fusion procedures, but Medicare Advantage plans may. Verify with the specific plan, and treat PA management as a pre-operative workflow step rather than an afterthought.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Typical clinical criteria for PA approval:<\/strong> Imaging evidence of C1-C2 instability or odontoid pathology. Documented failure of conservative care, including <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy<\/a>, where that applies. Attestation from a neurosurgeon or an orthopedic spine specialist. Documentation of myelopathy or the risk of neurological compromise.<\/li>\n\n\n\n<li><strong>PA submission timing:<\/strong> Submit at least 5-10 business days before the planned procedure date. Urgent and emergent cases follow the payer&#8217;s expedited PA pathway.<\/li>\n\n\n\n<li><strong>What to include:<\/strong> The operative plan, pre-operative CT and MRI reports, specialist notes, the applicable ICD-10 codes, and the referring physician&#8217;s documentation.<\/li>\n\n\n\n<li><strong>Denial on PA:<\/strong> If PA is denied, the payer must give a written rationale. Request a peer-to-peer review between the treating surgeon and the payer&#8217;s medical director. That overturns denials in a meaningful share of complex spinal cases.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-pabau-supports-spinal-surgery-billing-workflows\" class=\"wp-block-heading\">How Pabau supports spinal surgery billing workflows<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Orthopedic, <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine<\/a>, and neurosurgery teams billing CPT code 22548 run a multi-step process. Prior authorization, operative documentation, code assignment, claim submission, and denial follow-up each carry their own failure point.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau pulls that workflow into one place. Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> shows where each claim stands, holds the supporting documents against it, and flags missing fields before submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> let surgical teams capture the approach, spinal level, and odontoid status at the point of care. That removes a round of back-and-forth between the clinical team and billing.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-22548\/automate-claims-through-healthcode.webp\" alt=\"Pabau claims and billing automation dashboard\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims management automates claim submission and billing, so a 22548 claim leaves with its documentation already attached.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">For teams handling high-complexity spinal codes alongside outpatient and consult billing, Pabau&#8217;s <a href=\"https:\/\/pabau.com\/blog\/practice-management-software\/\">practice management software<\/a> keeps scheduling, documentation, and billing in one system.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Cut denials on high-complexity spinal claims                <\/h3>\n\n                <p class=\"description\">\n                    Pabau helps orthopedic and neurosurgery teams track CPT 22548 claims, catch missing documentation before submission, and manage prior authorizations in one place.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard for surgical billing\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Correct billing for CPT code 22548 comes down to what the operative note says. Name the approach, state the odontoid decision, and the claim usually survives review.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Leave either one implicit and you invite a documentation request, then a 60-day wait for money you have already earned.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same discipline applies to modifier 22 and prior authorization. Both are preventable denial causes, and both are settled before the patient reaches the operating room.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Build the pre-submission review into your workflow and the denial rate follows. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau handles surgical billing from operative note to paid claim.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding an odontoid fracture without craniocervical fusion?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-22318\/\">CPT code 22318<\/a> covers the fixation route, with RVUs and fee schedule detail.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Reporting a biomechanical device alongside the fusion?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-22853\/\">CPT code 22853<\/a> explains when interbody device insertion is billed separately.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the imaging code that supports medical necessity?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-72141\/\">CPT code 72141<\/a> walks through cervical spine MRI billing without contrast.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Assigning a cervical diagnosis with radiculopathy?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-m5013\/\">ICD-10 code M50.13<\/a> sets out the specificity rules for cervical disc disorders.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Documenting neurological status around surgery?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/neurological-vital-signs\/\">Neurological vital signs<\/a> covers assessment, GCS scoring, and when to escalate.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786693348594\"><h3 class=\"schema-faq-question\">What is CPT code 22548?<\/h3> <p class=\"schema-faq-answer\">CPT code 22548 is a surgical billing code for arthrodesis at the clivus-C1-C2 (atlas-axis) level. It covers the anterior transoral and extraoral techniques, with or without excision of the odontoid process. The American Medical Association (AMA) CPT Editorial Panel maintains it.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693348595\"><h3 class=\"schema-faq-question\">What are the most common CPT modifiers used with CPT code 22548?<\/h3> <p class=\"schema-faq-answer\">The most frequently used modifiers are 22, 51, 59, and 62. Modifier 22 applies when complexity clearly exceeds the typical case. Modifier 51 covers multiple procedures on the same date. Modifier 59 addresses NCCI bundling edits. Modifier 62 applies when an ENT co-surgeon performs the transoral access and a neurosurgeon completes the fusion.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693348596\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for CPT code 22548?<\/h3> <p class=\"schema-faq-answer\">Medicare pays about $1,943.60 nationally in 2026, and the facility and non-facility rates are identical for this code. Your locality adjustment will move that figure. Verify the current rate with the CMS Medicare Physician Fee Schedule lookup tool before filing.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693348597\"><h3 class=\"schema-faq-question\">Does CPT code 22548 require prior authorization?<\/h3> <p class=\"schema-faq-answer\">Most commercial payers require prior authorization for CPT code 22548. Medicare fee-for-service generally does not, but Medicare Advantage plans may have their own PA requirements. Always verify the plan&#8217;s requirements before the date of service. Submitting without an approved PA when one is required will result in denial.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693348598\"><h3 class=\"schema-faq-question\">How does CPT code 22548 differ from ACDF codes like 22551?<\/h3> <p class=\"schema-faq-answer\">CPT 22548 covers arthrodesis at the clivus-C1-C2 level through a transoral or extraoral approach. CPT 22551 covers anterior interbody arthrodesis with decompression at a single cervical interspace below C2. They describe different levels and different surgical corridors, so they are not interchangeable.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693348599\"><h3 class=\"schema-faq-question\">What ICD-10 codes are used with CPT code 22548?<\/h3> <p class=\"schema-faq-answer\">Commonly paired ICD-10-CM codes include M43.3, M43.4, Q76.1, and odontoid fracture codes in the S12 range. M43.3 and M43.4 cover recurrent atlantoaxial subluxation with and without myelopathy. Q76.1 is Klippel-Feil syndrome. Rheumatoid arthritis codes in the M05 range apply when pannus has caused C1-C2 instability. Assign only codes that reflect the documented diagnosis.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>CPT code 22548 covers arthrodesis by anterior transoral or extraoral technique at the clivus-C1-C2 (atlas-axis) level. The descriptor adds \u00abwith or without excision of odontoid process\u00bb, so one code covers both variants. The American Medical Association (AMA) maintains it in the CPT code set. The code sits in the 22548-22586 range for anterior and anterolateral [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":180128,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"77","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[3259,3371,3655,1658],"class_list":["post-180130","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-cervical-spine","tag-neurosurgery","tag-spine-coding","tag-spine-surgery-billing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 22548: Craniocervical fusion billing and RVUs<\/title>\n<meta name=\"description\" content=\"CPT 22548 covers clivus-C1-C2 fusion by transoral or extraoral approach. The note must name the approach and odontoid status.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-22548\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT code 22548: Craniocervical fusion billing and RVUs\" \/>\n<meta property=\"og:description\" content=\"CPT 22548 covers clivus-C1-C2 fusion by transoral or extraoral approach. The note must name the approach and odontoid status.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-22548\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-14T08:26:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T09:05:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-22548.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"CPT code 22548: Arthrodesis, anterior transoral or extraoral technique\",\"datePublished\":\"2026-08-14T08:26:39+00:00\",\"dateModified\":\"2026-08-14T09:05:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/\"},\"wordCount\":2605,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-22548.webp\",\"keywords\":[\"Cervical spine\",\"Neurosurgery\",\"Spine Coding\",\"Spine Surgery Billing\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/\",\"name\":\"CPT code 22548: Craniocervical fusion billing and RVUs\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-22548\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-22548.webp\",\"datePublished\":\"2026-08-14T08:26:39+00:00\",\"dateModified\":\"2026-08-14T09:05:17+00:00\",\"description\":\"CPT 22548 covers clivus-C1-C2 fusion by transoral or extraoral approach. 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They describe different levels and different surgical corridors, so they are not interchangeable.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-22548\/#faq-question-1786693348599","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-22548\/#faq-question-1786693348599","name":"What ICD-10 codes are used with CPT code 22548?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Commonly paired ICD-10-CM codes include M43.3, M43.4, Q76.1, and odontoid fracture codes in the S12 range. M43.3 and M43.4 cover recurrent atlantoaxial subluxation with and without myelopathy. Q76.1 is Klippel-Feil syndrome. Rheumatoid arthritis codes in the M05 range apply when pannus has caused C1-C2 instability. 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The note must name the approach and odontoid status.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"cervical fusion CPT code","score":61},{"keyword":"anterior cervical fusion coding","score":61},{"keyword":"C1 C2 arthrodesis billing","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/180130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=180130"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/180130\/revisions"}],"predecessor-version":[{"id":180300,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/180130\/revisions\/180300"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/180128"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=180130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=180130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=180130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}