CPT code 22614: Spinal fusion, each additional level2026 Medicare rate & RVUs in New Mexico

Reports each additional vertebral level fused using a posterior or posterolateral approach, alongside the applicable primary fusion code.

CMS RVU26DEffective Oct 1, 2026One payment locality228.2K Medicare services in 2024

In New Mexico, Medicare pays $357.49 for 22614 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$357.49Hospital or facility

Check a contract rate as a % of Medicare · 22614 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 22614 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 22614 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 22614 covers

This add-on describes an additional spinal level fused through a posterior or posterolateral approach. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, may perform multilevel fusion in an operating room for conditions such as spinal instability or degenerative disease. The surgeon’s operative report should identify the vertebral levels treated and the fusion technique used.

Report 22614 for each additional level after the primary posterior or posterolateral fusion code, such as 22600 for cervical, 22610 for thoracic, or 22612 for lumbar fusion. It cannot be reported by itself. Documentation should distinguish each fused level from instrumentation or other work performed at the same levels. CMS treats 22614 as an add-on code: 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 New Mexico compares for 22614

Across 109 of 109 payment localities, the facility rate for 22614 runs from $298.34 in Wisconsin to $458.49 in Miami, FL. New Mexico pays $357.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

22614 in New Mexico vs other payment areas
  1. New Mexico · this page$357.49
  2. Los Angeles, CA · California$347.51−$9.98
  3. Washington, DC area · District of Columbia$381.08+$23.59
  4. Miami, FL · Florida$458.49+$101.00
  5. Chicago, IL · Illinois$441.16+$83.67
  6. Manhattan, NY · New York$414.91+$57.42
  7. Alaska · Alaska$427.47+$69.98

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

22614 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$310.41
ArkansasArkansas—$305.74
ArizonaArizona—$337.18
Bakersfield, CACalifornia—$332.95
Chico, CACalifornia—$327.46
El Centro, CACalifornia—$327.81
Fresno, CACalifornia—$327.46
Hanford, CACalifornia—$327.46

22614 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.

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22614 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 22614 in every payment locality

How the 22614 rate is calculated

Each of 22614’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 · 22614

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.27

6.27 RVUs× 1.000 GPCI

Practice expense2.11

2.11 RVUs× 1.000 GPCI

Malpractice2.08

2.08 RVUs× 1.000 GPCI

Adjusted RVUs

10.4600

Conversion factor

$33.4009

Medicare rate

$349.37

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

2,095

Code
22614
Physician work
6.27
Practice expense
2.11
Malpractice
2.08

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 22614 in New Mexico
ComponentRVULocality factorAdjusted
Physician work6.27× 1.0006.2700
Practice expense2.11× 0.9171.9349
Malpractice2.08× 1.2012.4981
Total RVUs10.7029
Conversion factor× 33.4009

Facility rate, New Mexico$357.49

Facility: (6.27 × 1 + 2.11 × 0.917 + 2.08 × 1.201) × $33.4009 = $357.49

Open 22614 in the RVU calculator

Payment rules and modifiers for 22614

The CMS indicators that decide how 22614 is paid alongside other services.

CMS payment indicators · 22614

Spinal fusion, each additional level

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

22614 without 80 · national facility

$349.37

Spinal fusion, each additional level

22614-80 · Assistant: 16%

$55.90

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 22614 has changed in New Mexico

22614 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$357.49RVU26D
2026-07-01Not available in this setting$357.49RVU26C
2026-04-01Not available in this setting$357.49RVU26B
2026-01-01Not available in this setting$357.49RVU26A
2025-10-01Not available in this setting$382.21RVU25D
2025-07-01Not available in this setting$382.21RVU25C
2025-04-01Not available in this setting$382.21RVU25B
2025-01-01Not available in this setting$382.21RVU25A
2024-10-01Not available in this setting$391.60RVU24D
2024-07-01Not available in this setting$391.60RVU24C
2024-04-01Not available in this setting$391.60RVU24B
2024-03-09Not available in this setting$391.60RVU24AR
2024-01-01Not available in this setting$385.21RVU24A
2023-10-01Not available in this setting$395.33RVU23D
2023-07-01Not available in this setting$395.33RVU23C
2023-04-01Not available in this setting$395.33RVU23B
2023-01-01Not available in this setting$395.33RVU23A
2022-10-01Not available in this setting$398.78RVU22D
2022-07-01Not available in this setting$398.78RVU22C
2022-04-01Not available in this setting$398.78RVU22B
2022-01-01Not available in this setting$398.78RVU22A
2021-10-01Not available in this setting$400.58RVU21D
2021-07-01Not available in this setting$400.58RVU21C
2021-04-01Not available in this setting$400.58RVU21B
2021-01-01Not available in this setting$400.58RVU21A
2020-10-01Not available in this setting$414.34RVU20D
2020-07-01Not available in this setting$414.34RVU20C
2020-04-01Not available in this setting$414.34RVU20B
2020-01-01Not available in this setting$414.34RVU20A
2019-10-01Not available in this setting$419.92RVU19D
2019-07-01Not available in this setting$419.92RVU19C
2019-04-01Not available in this setting$419.92RVU19B
2019-01-01Not available in this setting$419.92RVU19A
2018-10-01Not available in this setting$419.55RVU18D
2018-07-01Not available in this setting$419.55RVU18C
2018-04-01Not available in this setting$419.55RVU18B
2018-01-01Not available in this setting$419.55RVU18AR1
2017-10-01Not available in this setting$416.84RVU17D
2017-07-01Not available in this setting$416.84RVU17C
2017-04-01Not available in this setting$416.84RVU17B
2017-01-01Not available in this setting$416.84RVU17A
2016-10-01Not available in this setting$412.78RVU16D
2016-07-01Not available in this setting$412.78RVU16C
2016-04-01Not available in this setting$412.78RVU16B
2016-01-01Not available in this setting$412.78RVU16A
2015-10-01Not available in this setting$417.10RVU15D
2015-07-01Not available in this setting$417.10RVU15C
2015-04-01Not available in this setting$415.03RVU15B
2015-01-01Not available in this setting$415.03RVU15A
2014-10-01Not available in this setting$398.59RVU14D
2014-07-01Not available in this setting$398.59RVU14C
2014-04-01Not available in this setting$398.59RVU14B
2014-01-01Not available in this setting$398.59RVU14A
2013-10-01Not available in this setting$382.90RVU13D
2013-07-01Not available in this setting$382.90RVU13C
2013-04-01Not available in this setting$382.90RVU13B
2013-01-01Not available in this setting$382.90RVU13AR

Price 22614 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

22614 billing questions

Can 22614 be reported by itself?

No. It is an add-on for an additional fusion level and must be billed with the applicable primary posterior or posterolateral fusion code.

How many units should be reported?

Report one unit for each additional vertebral level treated after the primary level. The operative report should identify the levels fused.

How is 22614 different from 22612?

22612 describes the primary lumbar posterior or posterolateral fusion level. Use 22614 for each additional level in that fusion.

How is 22614 different from 22632?

22614 represents an additional level of posterior or posterolateral fusion. 22632 represents an additional level of lumbar posterior interbody fusion.

Does instrumentation determine the number of 22614 units?

No. Units follow the additional vertebral fusion levels documented, not the number of implants or fixation points.

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
RVUs for 22614PPRRVU2026_Oct_nonQPP.csv, line 2,095 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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