CPT code 22210: Spinal osteotomy, cervical, one segment2026 Medicare rate & RVUs in Ohio
Reports one-segment posterior or posterolateral cervical osteotomy, often for fixed deformity correction, with associated discectomy included in the operative service.
In Ohio, Medicare pays $1,662.05 for 22210 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 22210 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 22210 covers
This code represents a posterior or posterolateral osteotomy at one cervical vertebral segment; discectomy performed as part of the corrective work is included. The surgeon removes or reshapes bone to mobilize a rigid deformity, such as fixed cervical kyphosis, and improve alignment. Orthopedic spine surgeons and neurosurgeons typically perform the procedure in an operating room as part of cervical deformity reconstruction.
Choose the code when the operative report supports one treated cervical segment and the posterior or posterolateral approach. Document the level, approach, osteotomy work, and number of segments. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is not appropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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 Ohio compares for 22210
Across 109 of 109 payment localities, the facility rate for 22210 runs from $1,495.25 in Arkansas to $2,152.90 in Miami, FL. Ohio pays $1,662.05. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$1,662.05
- Los Angeles, CA · California$1,769.06+$107.01
- Washington, DC area · District of Columbia$1,898.35+$236.30
- Miami, FL · Florida$2,152.90+$490.85
- Chicago, IL · Illinois$2,073.12+$411.07
- Manhattan, NY · New York$2,024.89+$362.84
- Alaska · Alaska$2,045.21+$383.16
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,518.91 |
| ArkansasArkansas | — | $1,495.25 |
| ArizonaArizona | — | $1,655.37 |
| Bakersfield, CACalifornia | — | $1,682.39 |
| Chico, CACalifornia | — | $1,660.96 |
| El Centro, CACalifornia | — | $1,662.31 |
| Fresno, CACalifornia | — | $1,660.96 |
| Hanford, CACalifornia | — | $1,660.96 |
| Madera, CACalifornia | — | $1,660.96 |
| Merced, CACalifornia | — | $1,660.96 |
| Modesto, CACalifornia | — | $1,660.96 |
| Napa, CACalifornia | — | $1,828.13 |
| Oxnard, CACalifornia | — | $1,746.59 |
| Redding, CACalifornia | — | $1,660.96 |
| Rest of CaliforniaCalifornia | — | $1,660.96 |
| Riverside, CACalifornia | — | $1,747.65 |
| Sacramento, CACalifornia | — | $1,717.93 |
| Salinas, CACalifornia | — | $1,711.33 |
| San Diego, CACalifornia | — | $1,734.92 |
| Marin County, CACalifornia | — | $1,897.98 |
| San Francisco, CACalifornia | — | $1,888.77 |
| San Benito County, CACalifornia | — | $1,950.94 |
| Santa Clara County, CACalifornia | — | $1,913.29 |
| San Luis Obispo, CACalifornia | — | $1,687.44 |
| Santa Cruz, CACalifornia | — | $1,737.56 |
| Santa Maria, CACalifornia | — | $1,713.17 |
| Santa Rosa, CACalifornia | — | $1,753.01 |
| Stockton, CACalifornia | — | $1,660.96 |
| Vallejo, CACalifornia | — | $1,814.86 |
| Visalia, CACalifornia | — | $1,660.96 |
| Yuba City, CACalifornia | — | $1,660.96 |
| ColoradoColorado | — | $1,703.48 |
| ConnecticutConnecticut | — | $1,834.31 |
| DelawareDelaware | — | $1,682.85 |
| Fort Lauderdale, FLFlorida | — | $1,940.35 |
| Rest of FloridaFlorida | — | $1,822.62 |
| Atlanta, GAGeorgia | — | $1,780.25 |
| Rest of GeorgiaGeorgia | — | $1,698.96 |
| Hawaii, Guam, HIHawaii | — | $1,683.81 |
| IowaIowa | — | $1,497.77 |
| IdahoIdaho | — | $1,521.44 |
| East St. Louis, ILIllinois | — | $1,938.87 |
| Rest of IllinoisIllinois | — | $1,812.39 |
| Suburban Chicago, ILIllinois | — | $1,945.00 |
| IndianaIndiana | — | $1,529.27 |
| KansasKansas | — | $1,519.98 |
| KentuckyKentucky | — | $1,622.07 |
| New Orleans, LALouisiana | — | $1,713.97 |
| Rest of LouisianaLouisiana | — | $1,631.26 |
| Metropolitan Boston, MAMassachusetts | — | $1,837.05 |
| Rest of MassachusettsMassachusetts | — | $1,704.35 |
| Baltimore area, MDMaryland | — | $1,835.85 |
| Rest of MarylandMaryland | — | $1,706.91 |
| Rest of MaineMaine | — | $1,561.80 |
| Southern Maine, MEMaine | — | $1,607.97 |
| Detroit, MIMichigan | — | $1,877.73 |
| Rest of MichiganMichigan | — | $1,694.83 |
| MinnesotaMinnesota | — | $1,540.63 |
| Metropolitan Kansas City, MOMissouri | — | $1,669.67 |
| Metropolitan St. Louis, MOMissouri | — | $1,684.44 |
| Rest of MissouriMissouri | — | $1,621.43 |
| MississippiMississippi | — | $1,557.15 |
| MontanaMontana | — | $1,712.92 |
| North CarolinaNorth Carolina | — | $1,574.41 |
| North DakotaNorth Dakota | — | $1,552.56 |
| NebraskaNebraska | — | $1,497.55 |
| New HampshireNew Hampshire | — | $1,704.86 |
| Northern New JerseyNew Jersey | — | $1,882.51 |
| Rest of New JerseyNew Jersey | — | $1,829.47 |
| New MexicoNew Mexico | — | $1,716.79 |
| NevadaNevada | — | $1,668.84 |
| NYC suburbs and Long Island, NYNew York | — | $2,114.93 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,866.06 |
| Queens, NYNew York | — | $1,998.20 |
| Rest of New YorkNew York | — | $1,602.22 |
| OklahomaOklahoma | — | $1,587.16 |
| Portland, OROregon | — | $1,725.71 |
| Rest of OregonOregon | — | $1,630.55 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,805.88 |
| Rest of PennsylvaniaPennsylvania | — | $1,648.06 |
| Puerto RicoPuerto Rico | — | $1,716.18 |
| Rhode IslandRhode Island | — | $1,720.24 |
| South CarolinaSouth Carolina | — | $1,626.02 |
| South DakotaSouth Dakota | — | $1,533.60 |
| TennesseeTennessee | — | $1,532.00 |
| Austin, TXTexas | — | $1,719.96 |
| Beaumont, TXTexas | — | $1,638.80 |
| Brazoria, TXTexas | — | $1,654.94 |
| Dallas, TXTexas | — | $1,679.98 |
| Fort Worth, TXTexas | — | $1,677.34 |
| Galveston, TXTexas | — | $1,669.18 |
| Houston, TXTexas | — | $1,817.62 |
| Rest of TexasTexas | — | $1,655.78 |
| UtahUtah | — | $1,648.88 |
| VirginiaVirginia | — | $1,623.36 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,716.18 |
| VermontVermont | — | $1,573.49 |
| Rest of WashingtonWashington | — | $1,692.12 |
| King County, WAWashington | — | $1,845.04 |
| WisconsinWisconsin | — | $1,500.15 |
| West VirginiaWest Virginia | — | $1,749.53 |
| WyomingWyoming | — | $1,643.04 |
22210 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 22210 rate is calculated
Each of 22210’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.
How the rate is built · 22210
RVUs × geographic indexes × conversion factor
Work24.75
24.75 RVUs× 1.000 GPCI
Practice expense18.44
18.44 RVUs× 1.000 GPCI
Malpractice8.11
8.11 RVUs× 1.000 GPCI
Adjusted RVUs
51.3000
Conversion factor
$33.4009
Medicare rate
$1,713.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Ohio inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,054
- Code
- 22210
- Physician work
- 24.75
- Practice expense
- 18.44
- Malpractice
- 8.11
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.75 | × 1.000 | 24.7500 |
| Practice expense | 18.44 | × 0.913 | 16.8357 |
| Malpractice | 8.11 | × 1.008 | 8.1749 |
| Total RVUs | 49.7606 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1662.05
Facility: (24.75 × 1 + 18.44 × 0.913 + 8.11 × 1.008) × $33.4009 = $1662.05
Payment rules and modifiers for 22210
22210 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22210
Spinal osteotomy, cervical, one segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 22210
Spinal osteotomy, cervical, one segment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
22210 without 51 · national facility
$1,713.47
Spinal osteotomy, cervical, one segment
22210-51 · Second procedure: 50%
$856.74
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 22210 has changed in Ohio
22210 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,662.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,662.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,662.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,662.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,709.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,709.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,709.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,709.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,752.72 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,752.72 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,752.72 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,752.72 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,724.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,772.22 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,772.22 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,772.22 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,772.22 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,799.28 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,799.28 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,799.28 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,799.28 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,809.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,809.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,809.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,809.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,822.58 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,822.58 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,822.58 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,822.58 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,821.35 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,821.35 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,821.35 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,821.35 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,817.81 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,817.81 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,817.81 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,817.81 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,807.26 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,807.26 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,807.26 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,807.26 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,800.60 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,800.60 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,800.60 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,800.60 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,817.17 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,817.17 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,808.12 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,808.12 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,788.95 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,788.95 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,788.95 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,788.95 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,792.94 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,792.94 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,792.94 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,792.94 | RVU13AR |
Where the Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Ada
- Adamsville
- Addyston
- Adelphi
- Adena
- Ai
- Akron
22210 billing questions
How is this code distinguished from 22212 or 22214?
Use 22210 for one cervical segment. Code 22212 is for a thoracic segment, while 22214 is for a lumbar segment.
Can 22216 be reported with this code?
When the surgeon performs osteotomy work at additional vertebral segments, 22216 is the add-on code for those additional segments. The operative report should support the number and location of the treated segments.
Is the associated discectomy separately reported?
Discectomy performed as part of the osteotomy is included in this service. Document the osteotomy and any separately performed procedures distinctly.
Should modifier 50 be appended for bilateral work?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
What assistant or co-surgeon rules apply?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
Show the CMS file lines behind this rate
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