CPT code 22216: Spinal osteotomy, each additional segment2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $310.84 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.

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 Nevada 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. Nevada pays $310.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22216 rates by state

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

See 22216 in every payment locality

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.

Payment rules and modifiers for 22216

The CMS indicators that decide how 22216 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22216

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

How 22216 has changed in Nevada

Price 22216 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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