CPT code 22214: Spine osteotomy, one lumbar segment2026 Medicare rate & RVUs in New Mexico

Reports a posterior or posterolateral lumbar osteotomy at one vertebral segment to mobilize the spine during correction of deformity.

CMS RVU26DEffective Oct 1, 2026One payment locality11.6K Medicare services in 2024

In New Mexico, Medicare pays $1,439.71 for 22214 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,439.71Hospital or facility

Check a contract rate as a % of Medicare · 22214 nationwide

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

We’ll open 22214 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 22214 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 22214 covers

CPT 22214 describes a posterior or posterolateral osteotomy at one lumbar vertebral segment. The surgeon removes or cuts bone, with associated discectomy included in the service, to create mobility for spinal realignment. Orthopedic spine surgeons and neurosurgeons commonly perform it in an operating room during correction of conditions such as scoliosis or kyphosis. The code identifies the lumbar region and one treated segment, not the total number of vertebrae involved in the overall fusion.

Report 22214 for the primary segment and use 22216 for each additional segment when the work meets that add-on code’s requirements. The operative report should identify the approach, lumbar location, segments treated, and osteotomy performed. A 90-day global includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this spinal procedure. An assistant at surgery 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.

How New Mexico compares for 22214

Across 109 of 109 payment localities, the facility rate for 22214 runs from $1,266.22 in Arkansas to $1,782.06 in Miami, FL. New Mexico pays $1,439.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

22214 in New Mexico vs other payment areas
  1. New Mexico · this page$1,439.71
  2. Los Angeles, CA · California$1,504.41+$64.70
  3. Washington, DC area · District of Columbia$1,603.07+$163.36
  4. Miami, FL · Florida$1,782.06+$342.35
  5. Chicago, IL · Illinois$1,718.69+$278.98
  6. Manhattan, NY · New York$1,698.53+$258.82
  7. Alaska · Alaska$1,729.91+$290.20

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

22214 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,285.59
ArkansasArkansas—$1,266.22
ArizonaArizona—$1,397.41
Bakersfield, CACalifornia—$1,429.84
Chico, CACalifornia—$1,413.43
El Centro, CACalifornia—$1,414.46
Fresno, CACalifornia—$1,413.43
Hanford, CACalifornia—$1,413.43

22214 rates by state

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

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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
22214 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 22214 in every payment locality

How the 22214 rate is calculated

Each of 22214’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 · 22214

RVUs × geographic indexes × conversion factor

Office or facility?

Work20.49

20.49 RVUs× 1.000 GPCI

Practice expense16.58

16.58 RVUs× 1.000 GPCI

Malpractice6.17

6.17 RVUs× 1.000 GPCI

Adjusted RVUs

43.2400

Conversion factor

$33.4009

Medicare rate

$1,444.25

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,056

Code
22214
Physician work
20.49
Practice expense
16.58
Malpractice
6.17

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 22214 in New Mexico
ComponentRVULocality factorAdjusted
Physician work20.49× 1.00020.4900
Practice expense16.58× 0.91715.2039
Malpractice6.17× 1.2017.4102
Total RVUs43.1040
Conversion factor× 33.4009

Facility rate, New Mexico$1439.71

Facility: (20.49 × 1 + 16.58 × 0.917 + 6.17 × 1.201) × $33.4009 = $1439.71

Open 22214 in the RVU calculator

Payment rules and modifiers for 22214

22214 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 22214

Spine osteotomy, one lumbar segment

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 22214

Spine osteotomy, one lumbar 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

22214 without 51 · national facility

$1,444.25

Spine osteotomy, one lumbar segment

22214-51 · Second procedure: 50%

$722.13

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%).

When to use modifier 51

How 22214 has changed in New Mexico

22214 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,439.71RVU26D
2026-07-01Not available in this setting$1,439.71RVU26C
2026-04-01Not available in this setting$1,439.71RVU26B
2026-01-01Not available in this setting$1,439.71RVU26A
2025-10-01Not available in this setting$1,473.93RVU25D
2025-07-01Not available in this setting$1,473.93RVU25C
2025-04-01Not available in this setting$1,473.93RVU25B
2025-01-01Not available in this setting$1,473.93RVU25A
2024-10-01Not available in this setting$1,507.23RVU24D
2024-07-01Not available in this setting$1,507.23RVU24C
2024-04-01Not available in this setting$1,507.23RVU24B
2024-03-09Not available in this setting$1,507.23RVU24AR
2024-01-01Not available in this setting$1,482.63RVU24A
2023-10-01Not available in this setting$1,514.97RVU23D
2023-07-01Not available in this setting$1,514.97RVU23C
2023-04-01Not available in this setting$1,514.97RVU23B
2023-01-01Not available in this setting$1,514.97RVU23A
2022-10-01Not available in this setting$1,521.51RVU22D
2022-07-01Not available in this setting$1,521.51RVU22C
2022-04-01Not available in this setting$1,521.51RVU22B
2022-01-01Not available in this setting$1,521.51RVU22A
2021-10-01Not available in this setting$1,521.61RVU21D
2021-07-01Not available in this setting$1,521.61RVU21C
2021-04-01Not available in this setting$1,521.61RVU21B
2021-01-01Not available in this setting$1,521.61RVU21A
2020-10-01Not available in this setting$1,553.60RVU20D
2020-07-01Not available in this setting$1,553.60RVU20C
2020-04-01Not available in this setting$1,553.60RVU20B
2020-01-01Not available in this setting$1,553.60RVU20A
2019-10-01Not available in this setting$1,568.52RVU19D
2019-07-01Not available in this setting$1,568.52RVU19C
2019-04-01Not available in this setting$1,568.52RVU19B
2019-01-01Not available in this setting$1,568.52RVU19A
2018-10-01Not available in this setting$1,558.51RVU18D
2018-07-01Not available in this setting$1,558.51RVU18C
2018-04-01Not available in this setting$1,558.51RVU18B
2018-01-01Not available in this setting$1,558.51RVU18AR1
2017-10-01Not available in this setting$1,542.90RVU17D
2017-07-01Not available in this setting$1,542.90RVU17C
2017-04-01Not available in this setting$1,542.90RVU17B
2017-01-01Not available in this setting$1,542.90RVU17A
2016-10-01Not available in this setting$1,527.48RVU16D
2016-07-01Not available in this setting$1,527.48RVU16C
2016-04-01Not available in this setting$1,527.48RVU16B
2016-01-01Not available in this setting$1,527.48RVU16A
2015-10-01Not available in this setting$1,535.16RVU15D
2015-07-01Not available in this setting$1,535.16RVU15C
2015-04-01Not available in this setting$1,527.52RVU15B
2015-01-01Not available in this setting$1,527.52RVU15A
2014-10-01Not available in this setting$1,484.34RVU14D
2014-07-01Not available in this setting$1,484.34RVU14C
2014-04-01Not available in this setting$1,484.34RVU14B
2014-01-01Not available in this setting$1,484.34RVU14A
2013-10-01Not available in this setting$1,445.45RVU13D
2013-07-01Not available in this setting$1,445.45RVU13C
2013-04-01Not available in this setting$1,445.45RVU13B
2013-01-01Not available in this setting$1,445.45RVU13AR

Price 22214 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

22214 billing questions

When is 22214 different from 22207?

Use 22214 for a posterior or posterolateral osteotomy at one lumbar segment that is not described as a three-column osteotomy. Code 22207 identifies a three-column lumbar osteotomy.

Can 22216 be reported with 22214?

Yes. Report 22214 for the primary lumbar segment and 22216 for each additional qualifying segment, supported by the operative report.

Is the discectomy separately reported?

Discectomy associated with the osteotomy is included in 22214. A separate discectomy code should not represent that same included work.

Can modifier 50 be used for two sides?

No. Modifier 50 is not appropriate for this midline spinal procedure; the code is selected by lumbar segment rather than side.

What postoperative care is included?

The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

May an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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
RVUs for 22214PPRRVU2026_Oct_nonQPP.csv, line 2,056 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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