CPT code 22216: Spinal osteotomy, each additional segment2026 Medicare rate & RVUs in Mississippi
Report this add-on for each additional vertebral segment treated with a posterior or posterolateral spinal osteotomy beyond the first segment.
In Mississippi, Medicare pays $296.17 for 22216 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 22216 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 22216 covers
This add-on represents an additional vertebral segment treated during a posterior or posterolateral spinal osteotomy, including the discectomy described for this procedure family. Spine surgeons may perform these osteotomies during surgery to correct spinal deformity, such as kyphosis or scoliosis. The code applies to an additional segment beyond the first; the primary code identifies the spinal region and the initial segment treated.
Report 22216 with the corresponding primary osteotomy code for the first segment, selecting that code by cervical, thoracic, or lumbar region. Documentation should identify the approach, the vertebral segments treated, and the osteotomy performed at each additional segment. The add-on is billed only with a primary procedure and its payment falls 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 Mississippi compares for 22216
Across 109 of 109 payment localities, the facility rate for 22216 runs from $277.00 in Wisconsin to $413.71 in Miami, FL. Mississippi pays $296.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$296.17
- Los Angeles, CA · California$320.76+$24.59
- Washington, DC area · District of Columbia$349.53+$53.36
- Miami, FL · Florida$413.71+$117.54
- Chicago, IL · Illinois$398.91+$102.74
- Manhattan, NY · New York$378.41+$82.24
- Alaska · Alaska$396.54+$100.37
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $286.85 |
| ArkansasArkansas | — | $282.79 |
| ArizonaArizona | — | $310.12 |
| Bakersfield, CACalifornia | — | $307.52 |
| Chico, CACalifornia | — | $302.81 |
| El Centro, CACalifornia | — | $303.10 |
| Fresno, CACalifornia | — | $302.81 |
| Hanford, CACalifornia | — | $302.81 |
| Madera, CACalifornia | — | $302.81 |
| Merced, CACalifornia | — | $302.81 |
| Modesto, CACalifornia | — | $302.81 |
| Napa, CACalifornia | — | $324.65 |
| Oxnard, CACalifornia | — | $315.71 |
| Redding, CACalifornia | — | $302.81 |
| Rest of CaliforniaCalifornia | — | $302.81 |
| Riverside, CACalifornia | — | $321.75 |
| Sacramento, CACalifornia | — | $310.90 |
| Salinas, CACalifornia | — | $309.66 |
| San Diego, CACalifornia | — | $312.23 |
| Marin County, CACalifornia | — | $334.03 |
| San Francisco, CACalifornia | — | $332.02 |
| San Benito County, CACalifornia | — | $343.61 |
| Santa Clara County, CACalifornia | — | $335.39 |
| San Luis Obispo, CACalifornia | — | $305.61 |
| Santa Cruz, CACalifornia | — | $311.34 |
| Santa Maria, CACalifornia | — | $309.53 |
| Santa Rosa, CACalifornia | — | $313.96 |
| Stockton, CACalifornia | — | $302.81 |
| Vallejo, CACalifornia | — | $321.75 |
| Visalia, CACalifornia | — | $302.81 |
| Yuba City, CACalifornia | — | $302.81 |
| ColoradoColorado | — | $314.23 |
| ConnecticutConnecticut | — | $342.01 |
| DelawareDelaware | — | $314.88 |
| Fort Lauderdale, FLFlorida | — | $369.26 |
| Rest of FloridaFlorida | — | $347.52 |
| Atlanta, GAGeorgia | — | $334.16 |
| Rest of GeorgiaGeorgia | — | $324.97 |
| Hawaii, Guam, HIHawaii | — | $304.68 |
| IowaIowa | — | $279.46 |
| IdahoIdaho | — | $284.28 |
| East St. Louis, ILIllinois | — | $375.39 |
| Rest of IllinoisIllinois | — | $348.27 |
| Suburban Chicago, ILIllinois | — | $369.42 |
| IndianaIndiana | — | $285.51 |
| KansasKansas | — | $285.07 |
| KentuckyKentucky | — | $308.39 |
| New Orleans, LALouisiana | — | $324.85 |
| Rest of LouisianaLouisiana | — | $310.68 |
| Metropolitan Boston, MAMassachusetts | — | $334.83 |
| Rest of MassachusettsMassachusetts | — | $315.24 |
| Baltimore area, MDMaryland | — | $342.56 |
| Rest of MarylandMaryland | — | $318.55 |
| Rest of MaineMaine | — | $293.09 |
| Southern Maine, MEMaine | — | $298.25 |
| Detroit, MIMichigan | — | $358.93 |
| Rest of MichiganMichigan | — | $322.61 |
| MinnesotaMinnesota | — | $280.92 |
| Metropolitan Kansas City, MOMissouri | — | $315.32 |
| Metropolitan St. Louis, MOMissouri | — | $317.64 |
| Rest of MissouriMissouri | — | $310.12 |
| MontanaMontana | — | $320.53 |
| North CarolinaNorth Carolina | — | $294.94 |
| North DakotaNorth Dakota | — | $285.53 |
| NebraskaNebraska | — | $278.86 |
| New HampshireNew Hampshire | — | $315.93 |
| Northern New JerseyNew Jersey | — | $347.46 |
| Rest of New JerseyNew Jersey | — | $340.23 |
| New MexicoNew Mexico | — | $327.13 |
| NevadaNevada | — | $310.84 |
| NYC suburbs and Long Island, NYNew York | — | $396.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $348.09 |
| Queens, NYNew York | — | $371.20 |
| Rest of New YorkNew York | — | $299.83 |
| OhioOhio | — | $315.46 |
| OklahomaOklahoma | — | $300.50 |
| Portland, OROregon | — | $315.89 |
| Rest of OregonOregon | — | $302.83 |
| Metropolitan Philadelphia, PAPennsylvania | — | $338.26 |
| Rest of PennsylvaniaPennsylvania | — | $312.06 |
| Puerto RicoPuerto Rico | — | $320.48 |
| Rhode IslandRhode Island | — | $320.14 |
| South CarolinaSouth Carolina | — | $306.83 |
| South DakotaSouth Dakota | — | $281.39 |
| TennesseeTennessee | — | $287.35 |
| Austin, TXTexas | — | $318.08 |
| Beaumont, TXTexas | — | $310.59 |
| Brazoria, TXTexas | — | $308.63 |
| Dallas, TXTexas | — | $313.76 |
| Fort Worth, TXTexas | — | $313.88 |
| Galveston, TXTexas | — | $311.60 |
| Houston, TXTexas | — | $343.99 |
| Rest of TexasTexas | — | $311.59 |
| UtahUtah | — | $310.71 |
| VirginiaVirginia | — | $302.16 |
| Virgin Islands, VIUnited States Virgin Islands | — | $320.48 |
| VermontVermont | — | $290.79 |
| Rest of WashingtonWashington | — | $312.52 |
| King County, WAWashington | — | $334.43 |
| WisconsinWisconsin | — | $277.00 |
| West VirginiaWest Virginia | — | $337.60 |
| WyomingWyoming | — | $305.28 |
22216 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 22216 rate is calculated
Each of 22216’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 · 22216
RVUs × geographic indexes × conversion factor
Work5.88
5.88 RVUs× 1.000 GPCI
Practice expense1.95
1.95 RVUs× 1.000 GPCI
Malpractice1.77
1.77 RVUs× 1.000 GPCI
Adjusted RVUs
9.6000
Conversion factor
$33.4009
Medicare rate
$320.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,057
- Code
- 22216
- Physician work
- 5.88
- Practice expense
- 1.95
- Malpractice
- 1.77
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.000 | 5.8800 |
| Practice expense | 1.95 | × 0.861 | 1.6789 |
| Malpractice | 1.77 | × 0.739 | 1.3080 |
| Total RVUs | 8.8670 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$296.17
Facility: (5.88 × 1 + 1.95 × 0.861 + 1.77 × 0.739) × $33.4009 = $296.17
Payment rules and modifiers for 22216
The CMS indicators that decide how 22216 is paid alongside other services.
CMS payment indicators · 22216
Spinal osteotomy, each additional segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
22216 without 80 · national facility
$320.65
Spinal osteotomy, each additional segment
22216-80 · Assistant: 16%
$51.30
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 22216 has changed in Mississippi
22216 · 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 | $296.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $296.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $296.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $296.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $324.43 | RVU25D |
| 2025-07-01 | Not available in this setting | $324.43 | RVU25C |
| 2025-04-01 | Not available in this setting | $324.43 | RVU25B |
| 2025-01-01 | Not available in this setting | $324.43 | RVU25A |
| 2024-10-01 | Not available in this setting | $331.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $331.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $331.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $331.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $325.96 | RVU24A |
| 2023-10-01 | Not available in this setting | $333.23 | RVU23D |
| 2023-07-01 | Not available in this setting | $333.23 | RVU23C |
| 2023-04-01 | Not available in this setting | $333.23 | RVU23B |
| 2023-01-01 | Not available in this setting | $333.23 | RVU23A |
| 2022-10-01 | Not available in this setting | $334.75 | RVU22D |
| 2022-07-01 | Not available in this setting | $334.75 | RVU22C |
| 2022-04-01 | Not available in this setting | $334.75 | RVU22B |
| 2022-01-01 | Not available in this setting | $334.75 | RVU22A |
| 2021-10-01 | Not available in this setting | $337.47 | RVU21D |
| 2021-07-01 | Not available in this setting | $337.47 | RVU21C |
| 2021-04-01 | Not available in this setting | $337.47 | RVU21B |
| 2021-01-01 | Not available in this setting | $337.47 | RVU21A |
| 2020-10-01 | Not available in this setting | $338.10 | RVU20D |
| 2020-07-01 | Not available in this setting | $338.10 | RVU20C |
| 2020-04-01 | Not available in this setting | $338.10 | RVU20B |
| 2020-01-01 | Not available in this setting | $338.10 | RVU20A |
| 2019-10-01 | Not available in this setting | $331.00 | RVU19D |
| 2019-07-01 | Not available in this setting | $331.00 | RVU19C |
| 2019-04-01 | Not available in this setting | $331.00 | RVU19B |
| 2019-01-01 | Not available in this setting | $331.00 | RVU19A |
| 2018-10-01 | Not available in this setting | $331.18 | RVU18D |
| 2018-07-01 | Not available in this setting | $331.18 | RVU18C |
| 2018-04-01 | Not available in this setting | $331.18 | RVU18B |
| 2018-01-01 | Not available in this setting | $331.18 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $337.29 | RVU17D |
| 2017-07-01 | Not available in this setting | $337.29 | RVU17C |
| 2017-04-01 | Not available in this setting | $337.29 | RVU17B |
| 2017-01-01 | Not available in this setting | $337.29 | RVU17A |
| 2016-10-01 | Not available in this setting | $342.80 | RVU16D |
| 2016-07-01 | Not available in this setting | $342.80 | RVU16C |
| 2016-04-01 | Not available in this setting | $342.80 | RVU16B |
| 2016-01-01 | Not available in this setting | $342.80 | RVU16A |
| 2015-10-01 | Not available in this setting | $345.23 | RVU15D |
| 2015-07-01 | Not available in this setting | $345.23 | RVU15C |
| 2015-04-01 | Not available in this setting | $343.51 | RVU15B |
| 2015-01-01 | Not available in this setting | $343.51 | RVU15A |
| 2014-10-01 | Not available in this setting | $343.79 | RVU14D |
| 2014-07-01 | Not available in this setting | $343.79 | RVU14C |
| 2014-04-01 | Not available in this setting | $343.79 | RVU14B |
| 2014-01-01 | Not available in this setting | $343.79 | RVU14A |
| 2013-10-01 | Not available in this setting | $337.95 | RVU13D |
| 2013-07-01 | Not available in this setting | $337.95 | RVU13C |
| 2013-04-01 | Not available in this setting | $337.95 | RVU13B |
| 2013-01-01 | Not available in this setting | $337.95 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
22216 billing questions
When is 22216 reported instead of 22214?
22214 reports the first lumbar segment treated with the applicable posterior or posterolateral osteotomy. Use 22216 for each additional segment treated in that procedure.
Which primary code must accompany 22216?
Report it with the primary code for the first segment: 22210 for cervical, 22212 for thoracic, or 22214 for lumbar.
How many units of 22216 should be reported?
Report one unit for each additional vertebral segment treated beyond the first. The operative report should support the number and location of those segments.
Can the included discectomy be billed separately as part of this service?
The osteotomy code family includes discectomy in its described service. Do not separately report the discectomy when it is part of the work represented by the osteotomy.
How does the add-on payment relate to the primary procedure?
22216 is billed only with a primary procedure, and its payment falls within that primary procedure’s global period.
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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