CPT code 22534: Spinal fusion, each additional segment2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $281.29 for 22534 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22534 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 22534 covers

This add-on represents fusion of an additional vertebral segment using a lateral extracavitary approach to the thoracic or lumbar spine. The surgeon prepares the interspace for fusion, including limited disc removal for that purpose; the code does not describe disc removal performed as decompression. Orthopedic spine surgeons and neurosurgeons typically report it for multilevel fusion performed in an operating room.

Report 22534 for each additional segment beyond the segment represented by the primary procedure. The operative report should identify the spinal levels fused and support the lateral extracavitary technique; select the primary code according to the region of the initial segment. CMS treats 22534 as an add-on: it is billed only with a primary procedure and paid 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 South Dakota compares for 22534

Across 109 of 109 payment localities, the facility rate for 22534 runs from $276.79 in Wisconsin to $423.86 in Miami, FL. South Dakota pays $281.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22534 rates by state

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

See 22534 in every payment locality

How the 22534 rate is calculated

Each of 22534’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 22534

The CMS indicators that decide how 22534 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22534

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

How 22534 has changed in South Dakota

Price 22534 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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