CPT code 22208: Spinal osteotomy, additional three-column segment2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $457.10 for 22208 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22208 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 22208 covers

A three-column osteotomy removes bone through the front, middle, and back columns of the spine to help correct a rigid deformity, such as fixed kyphosis or scoliosis. Spine surgeons typically perform the procedure through a posterior or posterolateral approach during complex reconstructive surgery. Code 22208 represents an additional vertebral segment treated with this osteotomy, beyond the segment represented by the primary procedure.

Report 22208 only with an appropriate primary three-column osteotomy code, such as 22206 for a thoracic segment or 22207 for a lumbar segment. The operative report should identify the spinal levels treated and document the additional osteotomy work; the number of fusion levels alone does not establish the number of osteotomy segments. CMS classifies 22208 as an add-on code, so it is billed with a primary procedure and paid within that procedure’s global period.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 22208

Across 109 of 109 payment localities, the facility rate for 22208 runs from $449.63 in Wisconsin to $695.86 in Miami, FL. South Dakota pays $457.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22208 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 22208 in every payment locality

How the 22208 rate is calculated

Each of 22208’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 22208

The CMS indicators that decide how 22208 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22208

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 22208 has changed in South Dakota

Price 22208 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates