CPT code 22556: Thoracic fusion, anterior interbody technique2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,606.08 for 22556 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22556 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 22556 covers

This code describes fusion of a thoracic spinal level through an anterior approach, with limited disc removal to prepare the interspace for fusion. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, typically perform it in a hospital operating room for conditions such as thoracic instability, deformity, or disc disease requiring fusion. The code includes the disc preparation inherent to the fusion, rather than a separate extensive decompression service.

Report it for the thoracic region; cervical and lumbar interbody fusions use different codes. Documentation should identify the spinal level, anterior approach, fusion work, and any additional levels or separately performed services. Code 22585 may be reported for each additional interspace when its requirements are met. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not.

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 22556

Across 109 of 109 payment localities, the facility rate for 22556 runs from $1,397.37 in Nebraska to $2,014.67 in Miami, FL. New Mexico pays $1,606.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22556 rates by state

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

See 22556 in every payment locality

How the 22556 rate is calculated

Each of 22556’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 22556

22556 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 22556

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

How 22556 has changed in New Mexico

Price 22556 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

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