CPT code 22212: Spinal osteotomy, single thoracic segment2026 Medicare rate & RVUs in Florida
Reports a posterior or posterolateral osteotomy at one thoracic vertebral segment as part of surgical correction of spinal deformity.
CMS doesn’t publish an office rate for 22212 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 22212 covers
This code describes a surgeon’s posterior or posterolateral osteotomy at one thoracic vertebral segment to help correct a spinal deformity, such as thoracic kyphosis or scoliosis. The work is performed in an operating room, typically by an orthopedic spine surgeon or neurosurgeon as part of a corrective spine operation. The selected code reflects the spinal region, approach, and number of vertebral segments treated; this code is for one thoracic segment, rather than a three-column osteotomy or an anterior approach.
The operative report should identify the thoracic level, approach, osteotomy performed, and segment count. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires 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.
Where 22212 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $1,634.33 |
| Miami, FL | Unavailable | $1,802.71 |
| Rest of Florida | Unavailable | $1,537.80 |
How the 22212 rate is calculated
Each of 22212’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 · 22212
RVUs × geographic indexes × conversion factor
Work20.47
20.47 RVUs× 1.000 GPCI
Practice expense16.78
16.78 RVUs× 1.000 GPCI
Malpractice6.34
6.34 RVUs× 1.000 GPCI
Adjusted RVUs
43.5900
Conversion factor
$33.4009
Medicare rate
$1,455.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 22212
22212 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22212
Spinal osteotomy, single thoracic 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 · 22212
Spinal osteotomy, single thoracic 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
22212 without 51 · national facility
$1,455.95
Spinal osteotomy, single thoracic segment
22212-51 · Second procedure: 50%
$727.98
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%).
22212 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 22206Spinal osteotomyThoracic, one segment
- Use 22212 for a posterior or posterolateral osteotomy at one thoracic segment. Use 22206 when the thoracic osteotomy is a three-column procedure.
- 22216Spinal osteotomyEach additional segment
- 22212 represents the primary single-segment service. 22216 reports each additional vertebral segment in the applicable osteotomy family.
- 22214Spine osteotomyOne lumbar segment
- Both codes describe posterior or posterolateral osteotomy at one segment; 22212 is thoracic, while 22214 is lumbar.
- 22222Spinal osteotomyAnterior thoracic, one segment
- Both concern a single thoracic segment, but 22212 uses a posterior or posterolateral approach and 22222 uses an anterior approach.
22212 billing questions
How is this code different from a three-column thoracic osteotomy?
This code represents a posterior or posterolateral osteotomy at one thoracic vertebral segment. Code 22206 is for a three-column osteotomy at one thoracic segment.
Can an additional vertebral segment be reported?
Code 22216 is the add-on code for each additional vertebral segment in this osteotomy family. Document the additional segment treated and report it with the applicable primary osteotomy code.
What documentation supports reporting one segment?
The operative report should identify the thoracic level and describe the osteotomy and posterior or posterolateral approach. It should make clear that the work involved one vertebral segment.
Is the related postoperative care separately reported?
The code has a 90-day global period. Related postoperative care during that period, along with the day-before preoperative visit, is included.
How are multiple procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the other procedures in that session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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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