CPT code 22226: Spinal osteotomy, each additional anterior segment2026 Medicare rate & RVUs in New Mexico
Reports each additional vertebral segment treated with an anterior spinal osteotomy and discectomy during multilevel correction of spinal deformity, beyond the primary segment.
In New Mexico, Medicare pays $326.11 for 22226 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 22226 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 22226 covers
This add-on describes an additional vertebral segment treated with an anterior spinal osteotomy that includes discectomy. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, may perform the work during surgery to mobilize the spine for correction of a deformity such as scoliosis or kyphosis. It is typically performed in an operating room as part of a multilevel anterior spinal procedure.
Report it only for additional segments beyond the first, with the applicable primary anterior osteotomy code for the cervical, thoracic, or lumbar region. The operative report should identify the approach, the vertebral levels treated, and the osteotomy and discectomy work at each additional segment. Do not report it by itself. CMS classifies the code as an add-on, so payment is within the primary 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 New Mexico compares for 22226
Across 109 of 109 payment localities, the facility rate for 22226 runs from $276.26 in Wisconsin to $412.17 in Miami, FL. New Mexico pays $326.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$326.11
- Los Angeles, CA · California$319.74−$6.37
- Washington, DC area · District of Columbia$348.37+$22.26
- Miami, FL · Florida$412.17+$86.06
- Chicago, IL · Illinois$397.47+$71.36
- Manhattan, NY · New York$377.11+$51.00
- Alaska · Alaska$395.64+$69.53
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $286.08 |
| ArkansasArkansas | — | $282.05 |
| ArizonaArizona | — | $309.18 |
| Bakersfield, CACalifornia | — | $306.58 |
| Chico, CACalifornia | — | $301.90 |
| El Centro, CACalifornia | — | $302.19 |
| Fresno, CACalifornia | — | $301.90 |
| Hanford, CACalifornia | — | $301.90 |
| Madera, CACalifornia | — | $301.90 |
| Merced, CACalifornia | — | $301.90 |
| Modesto, CACalifornia | — | $301.90 |
| Napa, CACalifornia | — | $323.60 |
| Oxnard, CACalifornia | — | $314.72 |
| Redding, CACalifornia | — | $301.90 |
| Rest of CaliforniaCalifornia | — | $301.90 |
| Riverside, CACalifornia | — | $320.73 |
| Sacramento, CACalifornia | — | $309.95 |
| Salinas, CACalifornia | — | $308.71 |
| San Diego, CACalifornia | — | $311.25 |
| Marin County, CACalifornia | — | $332.93 |
| San Francisco, CACalifornia | — | $330.93 |
| San Benito County, CACalifornia | — | $342.47 |
| Santa Clara County, CACalifornia | — | $334.30 |
| San Luis Obispo, CACalifornia | — | $304.67 |
| Santa Cruz, CACalifornia | — | $310.35 |
| Santa Maria, CACalifornia | — | $308.57 |
| Santa Rosa, CACalifornia | — | $312.96 |
| Stockton, CACalifornia | — | $301.90 |
| Vallejo, CACalifornia | — | $320.72 |
| Visalia, CACalifornia | — | $301.90 |
| Yuba City, CACalifornia | — | $301.90 |
| ColoradoColorado | — | $313.26 |
| ConnecticutConnecticut | — | $340.88 |
| DelawareDelaware | — | $313.92 |
| Fort Lauderdale, FLFlorida | — | $367.98 |
| Rest of FloridaFlorida | — | $346.38 |
| Atlanta, GAGeorgia | — | $333.08 |
| Rest of GeorgiaGeorgia | — | $323.97 |
| Hawaii, Guam, HIHawaii | — | $303.73 |
| IowaIowa | — | $278.72 |
| IdahoIdaho | — | $283.51 |
| East St. Louis, ILIllinois | — | $374.10 |
| Rest of IllinoisIllinois | — | $347.13 |
| Suburban Chicago, ILIllinois | — | $368.14 |
| IndianaIndiana | — | $284.72 |
| KansasKansas | — | $284.30 |
| KentuckyKentucky | — | $307.49 |
| New Orleans, LALouisiana | — | $323.84 |
| Rest of LouisianaLouisiana | — | $309.76 |
| Metropolitan Boston, MAMassachusetts | — | $333.74 |
| Rest of MassachusettsMassachusetts | — | $314.27 |
| Baltimore area, MDMaryland | — | $341.43 |
| Rest of MarylandMaryland | — | $317.56 |
| Rest of MaineMaine | — | $292.27 |
| Southern Maine, MEMaine | — | $297.37 |
| Detroit, MIMichigan | — | $357.72 |
| Rest of MichiganMichigan | — | $321.62 |
| MinnesotaMinnesota | — | $280.13 |
| Metropolitan Kansas City, MOMissouri | — | $314.36 |
| Metropolitan St. Louis, MOMissouri | — | $316.67 |
| Rest of MissouriMissouri | — | $309.22 |
| MississippiMississippi | — | $295.34 |
| MontanaMontana | — | $319.53 |
| North CarolinaNorth Carolina | — | $294.11 |
| North DakotaNorth Dakota | — | $284.73 |
| NebraskaNebraska | — | $278.12 |
| New HampshireNew Hampshire | — | $314.94 |
| Northern New JerseyNew Jersey | — | $346.33 |
| Rest of New JerseyNew Jersey | — | $339.14 |
| NevadaNevada | — | $309.89 |
| NYC suburbs and Long Island, NYNew York | — | $394.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $346.95 |
| Queens, NYNew York | — | $369.93 |
| Rest of New YorkNew York | — | $298.96 |
| OhioOhio | — | $314.51 |
| OklahomaOklahoma | — | $299.64 |
| Portland, OROregon | — | $314.90 |
| Rest of OregonOregon | — | $301.93 |
| Metropolitan Philadelphia, PAPennsylvania | — | $337.17 |
| Rest of PennsylvaniaPennsylvania | — | $311.13 |
| Puerto RicoPuerto Rico | — | $319.47 |
| Rhode IslandRhode Island | — | $319.16 |
| South CarolinaSouth Carolina | — | $305.93 |
| South DakotaSouth Dakota | — | $280.61 |
| TennesseeTennessee | — | $286.56 |
| Austin, TXTexas | — | $317.08 |
| Beaumont, TXTexas | — | $309.67 |
| Brazoria, TXTexas | — | $307.70 |
| Dallas, TXTexas | — | $312.81 |
| Fort Worth, TXTexas | — | $312.93 |
| Galveston, TXTexas | — | $310.66 |
| Houston, TXTexas | — | $342.87 |
| Rest of TexasTexas | — | $310.66 |
| UtahUtah | — | $309.78 |
| VirginiaVirginia | — | $301.27 |
| Virgin Islands, VIUnited States Virgin Islands | — | $319.47 |
| VermontVermont | — | $289.96 |
| Rest of WashingtonWashington | — | $311.57 |
| King County, WAWashington | — | $333.34 |
| WisconsinWisconsin | — | $276.26 |
| West VirginiaWest Virginia | — | $336.54 |
| WyomingWyoming | — | $304.36 |
22226 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 22226 rate is calculated
Each of 22226’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 · 22226
RVUs × geographic indexes × conversion factor
Work5.88
5.88 RVUs× 1.000 GPCI
Practice expense1.93
1.93 RVUs× 1.000 GPCI
Malpractice1.76
1.76 RVUs× 1.000 GPCI
Adjusted RVUs
9.5700
Conversion factor
$33.4009
Medicare rate
$319.65
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
2,061
- Code
- 22226
- Physician work
- 5.88
- Practice expense
- 1.93
- Malpractice
- 1.76
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.000 | 5.8800 |
| Practice expense | 1.93 | × 0.917 | 1.7698 |
| Malpractice | 1.76 | × 1.201 | 2.1138 |
| Total RVUs | 9.7636 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$326.11
Facility: (5.88 × 1 + 1.93 × 0.917 + 1.76 × 1.201) × $33.4009 = $326.11
Payment rules and modifiers for 22226
The CMS indicators that decide how 22226 is paid alongside other services.
CMS payment indicators · 22226
Spinal osteotomy, each additional anterior 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
22226 without 80 · national facility
$319.65
Spinal osteotomy, each additional anterior segment
22226-80 · Assistant: 16%
$51.14
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 22226 has changed in New Mexico
22226 · 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 | $326.11 | RVU26D |
| 2026-07-01 | Not available in this setting | $326.11 | RVU26C |
| 2026-04-01 | Not available in this setting | $326.11 | RVU26B |
| 2026-01-01 | Not available in this setting | $326.11 | RVU26A |
| 2025-10-01 | Not available in this setting | $350.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $350.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $350.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $350.13 | RVU25A |
| 2024-10-01 | Not available in this setting | $356.55 | RVU24D |
| 2024-07-01 | Not available in this setting | $356.55 | RVU24C |
| 2024-04-01 | Not available in this setting | $356.55 | RVU24B |
| 2024-03-09 | Not available in this setting | $356.55 | RVU24AR |
| 2024-01-01 | Not available in this setting | $350.73 | RVU24A |
| 2023-10-01 | Not available in this setting | $360.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $360.61 | RVU23C |
| 2023-04-01 | Not available in this setting | $360.61 | RVU23B |
| 2023-01-01 | Not available in this setting | $360.61 | RVU23A |
| 2022-10-01 | Not available in this setting | $366.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $366.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $366.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $366.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $369.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $369.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $369.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $369.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $383.65 | RVU20D |
| 2020-07-01 | Not available in this setting | $383.65 | RVU20C |
| 2020-04-01 | Not available in this setting | $383.65 | RVU20B |
| 2020-01-01 | Not available in this setting | $383.65 | RVU20A |
| 2019-10-01 | Not available in this setting | $387.84 | RVU19D |
| 2019-07-01 | Not available in this setting | $387.84 | RVU19C |
| 2019-04-01 | Not available in this setting | $387.84 | RVU19B |
| 2019-01-01 | Not available in this setting | $387.84 | RVU19A |
| 2018-10-01 | Not available in this setting | $387.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $387.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $387.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $387.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $382.72 | RVU17D |
| 2017-07-01 | Not available in this setting | $382.72 | RVU17C |
| 2017-04-01 | Not available in this setting | $382.72 | RVU17B |
| 2017-01-01 | Not available in this setting | $382.72 | RVU17A |
| 2016-10-01 | Not available in this setting | $379.65 | RVU16D |
| 2016-07-01 | Not available in this setting | $379.65 | RVU16C |
| 2016-04-01 | Not available in this setting | $379.65 | RVU16B |
| 2016-01-01 | Not available in this setting | $379.65 | RVU16A |
| 2015-10-01 | Not available in this setting | $381.26 | RVU15D |
| 2015-07-01 | Not available in this setting | $381.26 | RVU15C |
| 2015-04-01 | Not available in this setting | $379.37 | RVU15B |
| 2015-01-01 | Not available in this setting | $379.37 | RVU15A |
| 2014-10-01 | Not available in this setting | $371.39 | RVU14D |
| 2014-07-01 | Not available in this setting | $371.39 | RVU14C |
| 2014-04-01 | Not available in this setting | $371.39 | RVU14B |
| 2014-01-01 | Not available in this setting | $371.39 | RVU14A |
| 2013-10-01 | Not available in this setting | $356.30 | RVU13D |
| 2013-07-01 | Not available in this setting | $356.30 | RVU13C |
| 2013-04-01 | Not available in this setting | $356.30 | RVU13B |
| 2013-01-01 | Not available in this setting | $356.30 | RVU13AR |
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
22226 billing questions
Which primary code must accompany 22226?
Pair it with the anterior osteotomy code for the first segment: 22220 for cervical, 22222 for thoracic, or 22224 for lumbar.
When is another unit of 22226 supported?
Report an additional unit for each additional vertebral segment treated beyond the first. The operative note should make the treated levels and work at each segment clear.
Can 22226 be reported by itself?
No. It is an add-on code and must be reported with the applicable primary anterior osteotomy code.
Is the discectomy separately reported at these segments?
The osteotomy service represented by 22226 includes discectomy. Document that work as part of the additional segment rather than reporting it as a separate service.
How does 22226 differ from 22216?
22226 is for additional segments treated through an anterior approach with discectomy. Code 22216 is an additional-segment code for a posterior or posterolateral osteotomy.
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
Fee sheets · Coming soon
Put 22226 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist