CPT code 22585: Anterior fusion, additional interspace2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $287.37 for 22585 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22585 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 22585 covers

22585 represents fusion at an additional intervertebral space using an anterior interbody approach. The surgeon removes disc material as needed to prepare the space for fusion; this code describes preparation for fusion, not a separate nerve-root or spinal-cord decompression. It may be used for additional cervical, thoracic, or lumbar spaces when the corresponding primary anterior interbody fusion procedure is performed. Spine surgeons, including orthopedic surgeons and neurosurgeons, typically perform these operations in an operating room.

Report 22585 only with the appropriate primary code for the first interspace, such as 22554, 22556, or 22558. The operative report should identify each fused interspace and support that 22585 represents an additional space beyond the one reported by the primary code. CMS classifies 22585 as an add-on code: it is not billed by itself, and its payment falls 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 Puerto Rico compares for 22585

Across 109 of 109 payment localities, the facility rate for 22585 runs from $248.10 in Wisconsin to $372.02 in Miami, FL. Puerto Rico pays $287.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22585 rates by state

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

See 22585 in every payment locality

How the 22585 rate is calculated

Each of 22585’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 22585

The CMS indicators that decide how 22585 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22585

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

How 22585 has changed in Puerto Rico

Price 22585 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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