CPT code 22632: Lumbar fusion, each additional interspace2026 Medicare rate & RVUs in New Mexico

Reports each additional lumbar interspace fused using a posterior interbody technique during a multilevel lumbar fusion, beyond the first interspace.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In New Mexico, Medicare pays $294.80 for 22632 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$294.80Hospital or facility

Check a contract rate as a % of Medicare · 22632 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 22632 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 22632 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 22632 covers

This add-on represents fusion at an additional lumbar disc space using a posterior interbody approach, such as a multilevel posterior lumbar interbody fusion or transforaminal lumbar interbody fusion. Spine surgeons, including orthopedic surgeons and neurosurgeons, perform these procedures in the operating room. The additional level must receive the interbody fusion technique; simply extending a posterolateral fusion to another vertebral segment is a different service.

Report one unit for each additional lumbar interspace beyond the first, with the primary posterior interbody fusion code 22630. The operative report should identify the treated interspaces and document posterior interbody arthrodesis at each additional level. CMS classifies 22632 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 22632

Across 109 of 109 payment localities, the facility rate for 22632 runs from $243.78 in Wisconsin to $381.37 in Miami, FL. New Mexico pays $294.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

22632 in New Mexico vs other payment areas
  1. New Mexico · this page$294.80
  2. Los Angeles, CA · California$285.04−$9.76
  3. Washington, DC area · District of Columbia$313.80+$19.00
  4. Miami, FL · Florida$381.37+$86.57
  5. Chicago, IL · Illinois$366.49+$71.69
  6. Manhattan, NY · New York$342.86+$48.06
  7. Alaska · Alaska$349.50+$54.70

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

Every other payment area

22632 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$254.41
ArkansasArkansas—$250.44
ArizonaArizona—$277.18
Bakersfield, CACalifornia—$272.98
Chico, CACalifornia—$268.28
El Centro, CACalifornia—$268.58
Fresno, CACalifornia—$268.28
Hanford, CACalifornia—$268.28

22632 rates by state

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

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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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22632 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 22632 in every payment locality

How the 22632 rate is calculated

Each of 22632’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 · 22632

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.09

5.09 RVUs× 1.000 GPCI

Practice expense1.73

1.73 RVUs× 1.000 GPCI

Malpractice1.79

1.79 RVUs× 1.000 GPCI

Adjusted RVUs

8.6100

Conversion factor

$33.4009

Medicare rate

$287.58

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

2,097

Code
22632
Physician work
5.09
Practice expense
1.73
Malpractice
1.79

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 22632 in New Mexico
ComponentRVULocality factorAdjusted
Physician work5.09× 1.0005.0900
Practice expense1.73× 0.9171.5864
Malpractice1.79× 1.2012.1498
Total RVUs8.8262
Conversion factor× 33.4009

Facility rate, New Mexico$294.80

Facility: (5.09 × 1 + 1.73 × 0.917 + 1.79 × 1.201) × $33.4009 = $294.80

Open 22632 in the RVU calculator

Payment rules and modifiers for 22632

The CMS indicators that decide how 22632 is paid alongside other services.

CMS payment indicators · 22632

Lumbar fusion, each additional interspace

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

22632 without 80 · national facility

$287.58

Lumbar fusion, each additional interspace

22632-80 · Assistant: 16%

$46.01

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

When to use modifier 80

How 22632 has changed in New Mexico

22632 · 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$294.80RVU26D
2026-07-01Not available in this setting$294.80RVU26C
2026-04-01Not available in this setting$294.80RVU26B
2026-01-01Not available in this setting$294.80RVU26A
2025-10-01Not available in this setting$314.04RVU25D
2025-07-01Not available in this setting$314.04RVU25C
2025-04-01Not available in this setting$314.04RVU25B
2025-01-01Not available in this setting$314.04RVU25A
2024-10-01Not available in this setting$322.92RVU24D
2024-07-01Not available in this setting$322.92RVU24C
2024-04-01Not available in this setting$322.92RVU24B
2024-03-09Not available in this setting$322.92RVU24AR
2024-01-01Not available in this setting$317.65RVU24A
2023-10-01Not available in this setting$325.56RVU23D
2023-07-01Not available in this setting$325.56RVU23C
2023-04-01Not available in this setting$325.56RVU23B
2023-01-01Not available in this setting$325.56RVU23A
2022-10-01Not available in this setting$328.00RVU22D
2022-07-01Not available in this setting$328.00RVU22C
2022-04-01Not available in this setting$328.00RVU22B
2022-01-01Not available in this setting$328.00RVU22A
2021-10-01Not available in this setting$328.50RVU21D
2021-07-01Not available in this setting$328.50RVU21C
2021-04-01Not available in this setting$328.50RVU21B
2021-01-01Not available in this setting$328.50RVU21A
2020-10-01Not available in this setting$342.07RVU20D
2020-07-01Not available in this setting$342.07RVU20C
2020-04-01Not available in this setting$342.07RVU20B
2020-01-01Not available in this setting$342.07RVU20A
2019-10-01Not available in this setting$347.19RVU19D
2019-07-01Not available in this setting$347.19RVU19C
2019-04-01Not available in this setting$347.19RVU19B
2019-01-01Not available in this setting$347.19RVU19A
2018-10-01Not available in this setting$347.47RVU18D
2018-07-01Not available in this setting$347.47RVU18C
2018-04-01Not available in this setting$347.47RVU18B
2018-01-01Not available in this setting$347.47RVU18AR1
2017-10-01Not available in this setting$343.77RVU17D
2017-07-01Not available in this setting$343.77RVU17C
2017-04-01Not available in this setting$343.77RVU17B
2017-01-01Not available in this setting$343.77RVU17A
2016-10-01Not available in this setting$339.83RVU16D
2016-07-01Not available in this setting$339.83RVU16C
2016-04-01Not available in this setting$339.83RVU16B
2016-01-01Not available in this setting$339.83RVU16A
2015-10-01Not available in this setting$342.55RVU15D
2015-07-01Not available in this setting$342.55RVU15C
2015-04-01Not available in this setting$340.84RVU15B
2015-01-01Not available in this setting$340.84RVU15A
2014-10-01Not available in this setting$325.14RVU14D
2014-07-01Not available in this setting$325.14RVU14C
2014-04-01Not available in this setting$325.14RVU14B
2014-01-01Not available in this setting$325.14RVU14A
2013-10-01Not available in this setting$312.94RVU13D
2013-07-01Not available in this setting$312.94RVU13C
2013-04-01Not available in this setting$312.94RVU13B
2013-01-01Not available in this setting$312.94RVU13AR

Price 22632 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

22632 billing questions

Which primary code must accompany 22632?

Report 22632 with 22630, which represents the first lumbar interspace fused using the posterior interbody technique. Code 22632 accounts for each additional interspace treated with that technique.

How is 22632 different from 22614?

22632 is for each additional lumbar interspace fused with a posterior interbody technique. 22614 is for each additional vertebral segment fused using a posterior or posterolateral technique.

When is 22634 used instead?

Use 22634 for each additional lumbar interspace when the surgeon performs the combined posterior or posterolateral and interbody fusion technique represented by 22633. Use 22632 for additional interspaces in a posterior interbody fusion reported with 22630.

What documentation supports an additional unit?

The operative report should identify each additional lumbar interspace and describe the posterior interbody fusion performed there. The service must be at an additional interspace, not merely another vertebral segment.

How does the add-on status affect payment?

22632 is billed only with its primary procedure, 22630, and CMS pays it within the primary procedure’s global period.

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 22632PPRRVU2026_Oct_nonQPP.csv, line 2,097 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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