CPT code 22850: Spinal hardware removal, posterior, nonsegmental2026 Medicare rate & RVUs in Connecticut

Reports operative removal of posterior nonsegmental spinal fixation, such as a Harrington rod, when the surgeon removes the construct from the spine.

CMS RVU26DEffective Oct 1, 2026One payment locality2.8K Medicare services in 2024

In Connecticut, Medicare pays $767.13 for 22850 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$767.13Hospital or facility

Check a contract rate as a % of Medicare · 22850 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 22850 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 22850 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 22850 covers

A spine surgeon reports this service for operative removal of posterior nonsegmental fixation hardware, classically an older rod construct such as a Harrington rod. Removal may be part of a revision for painful or prominent hardware, infection, or another documented clinical reason. The service is typically performed in an operating room; the surgeon’s report should identify the posterior approach, the hardware removed, and the work performed to extract it.

Choose this code for nonsegmental posterior instrumentation, not segmental posterior hardware or anterior instrumentation. Document the construct and the reason for removal, along with any separately performed revision work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 Connecticut compares for 22850

Across 109 of 109 payment localities, the facility rate for 22850 runs from $626.20 in Arkansas to $882.66 in Miami, FL. Connecticut pays $767.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

22850 in Connecticut vs other payment areas
  1. Connecticut · this page$767.13
  2. Los Angeles, CA · California$750.39−$16.74
  3. Washington, DC area · District of Columbia$798.20+$31.07
  4. Miami, FL · Florida$882.66+$115.53
  5. Chicago, IL · Illinois$850.70+$83.57
  6. Manhattan, NY · New York$844.20+$77.07
  7. Alaska · Alaska$850.74+$83.61

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

Every other payment area

22850 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$636.08
ArkansasArkansas—$626.20
ArizonaArizona—$693.11
Bakersfield, CACalifornia—$712.02
Chico, CACalifornia—$704.04
El Centro, CACalifornia—$704.54
Fresno, CACalifornia—$704.04
Hanford, CACalifornia—$704.04

22850 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.

View every state and territory as a table
22850 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 22850 in every payment locality

How the 22850 rate is calculated

Each of 22850’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 · 22850

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.57

9.57 RVUs× 1.000 GPCI

Practice expense8.88

8.88 RVUs× 1.000 GPCI

Malpractice3.01

3.01 RVUs× 1.000 GPCI

Adjusted RVUs

21.4600

Conversion factor

$33.4009

Medicare rate

$716.78

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,122

Code
22850
Physician work
9.57
Practice expense
8.88
Malpractice
3.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 22850 in Connecticut
ComponentRVULocality factorAdjusted
Physician work9.57× 1.0209.7614
Practice expense8.88× 1.0779.5638
Malpractice3.01× 1.2103.6421
Total RVUs22.9673
Conversion factor× 33.4009

Facility rate, Connecticut$767.13

Facility: (9.57 × 1.02 + 8.88 × 1.077 + 3.01 × 1.21) × $33.4009 = $767.13

Open 22850 in the RVU calculator

Payment rules and modifiers for 22850

22850 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 22850

Spinal hardware removal, posterior, nonsegmental

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 22850

Spinal hardware removal, posterior, nonsegmental

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

22850 without 51 · national facility

$716.78

Spinal hardware removal, posterior, nonsegmental

22850-51 · Second procedure: 50%

$358.39

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 22850 has changed in Connecticut

22850 · 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$767.13RVU26D
2026-07-01Not available in this setting$767.13RVU26C
2026-04-01Not available in this setting$767.13RVU26B
2026-01-01Not available in this setting$767.13RVU26A
2025-10-01Not available in this setting$786.86RVU25D
2025-07-01Not available in this setting$786.86RVU25C
2025-04-01Not available in this setting$786.86RVU25B
2025-01-01Not available in this setting$786.86RVU25A
2024-10-01Not available in this setting$801.68RVU24D
2024-07-01Not available in this setting$801.68RVU24C
2024-04-01Not available in this setting$801.68RVU24B
2024-03-09Not available in this setting$801.68RVU24AR
2024-01-01Not available in this setting$788.60RVU24A
2023-10-01Not available in this setting$800.44RVU23D
2023-07-01Not available in this setting$800.44RVU23C
2023-04-01Not available in this setting$800.44RVU23B
2023-01-01Not available in this setting$800.44RVU23A
2022-10-01Not available in this setting$800.74RVU22D
2022-07-01Not available in this setting$800.74RVU22C
2022-04-01Not available in this setting$800.74RVU22B
2022-01-01Not available in this setting$800.74RVU22A
2021-10-01Not available in this setting$798.74RVU21D
2021-07-01Not available in this setting$798.74RVU21C
2021-04-01Not available in this setting$798.74RVU21B
2021-01-01Not available in this setting$798.74RVU21A
2020-10-01Not available in this setting$815.50RVU20D
2020-07-01Not available in this setting$815.50RVU20C
2020-04-01Not available in this setting$815.50RVU20B
2020-01-01Not available in this setting$815.50RVU20A
2019-10-01Not available in this setting$825.36RVU19D
2019-07-01Not available in this setting$825.36RVU19C
2019-04-01Not available in this setting$825.36RVU19B
2019-01-01Not available in this setting$825.36RVU19A
2018-10-01Not available in this setting$821.10RVU18D
2018-07-01Not available in this setting$821.10RVU18C
2018-04-01Not available in this setting$821.10RVU18B
2018-01-01Not available in this setting$821.10RVU18AR1
2017-10-01Not available in this setting$820.58RVU17D
2017-07-01Not available in this setting$820.58RVU17C
2017-04-01Not available in this setting$820.58RVU17B
2017-01-01Not available in this setting$820.58RVU17A
2016-10-01Not available in this setting$819.49RVU16D
2016-07-01Not available in this setting$819.49RVU16C
2016-04-01Not available in this setting$819.49RVU16B
2016-01-01Not available in this setting$819.49RVU16A
2015-10-01Not available in this setting$825.91RVU15D
2015-07-01Not available in this setting$825.91RVU15C
2015-04-01Not available in this setting$821.80RVU15B
2015-01-01Not available in this setting$821.80RVU15A
2014-10-01Not available in this setting$805.35RVU14D
2014-07-01Not available in this setting$805.35RVU14C
2014-04-01Not available in this setting$805.35RVU14B
2014-01-01Not available in this setting$805.35RVU14A
2013-10-01Not available in this setting$796.59RVU13D
2013-07-01Not available in this setting$796.59RVU13C
2013-04-01Not available in this setting$796.59RVU13B
2013-01-01Not available in this setting$796.59RVU13AR

Price 22850 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

22850 billing questions

How do I distinguish this from 22852?

This code is for removal of posterior nonsegmental instrumentation. Use 22852 for removal of posterior segmental instrumentation; document the type of construct removed.

Is anterior hardware removal reported with this code?

No. This code describes posterior nonsegmental hardware removal. Anterior instrumentation removal is represented by 22855.

What documentation supports reporting the removal?

The operative report should identify the posterior nonsegmental construct, the reason for removal, and the removal work performed. Include any revision or replacement work separately in the operative description.

How does the 90-day global period affect postoperative care?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period for this major surgery.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this code.

What happens when another procedure is performed in the same session?

Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures in that session.

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 22850PPRRVU2026_Oct_nonQPP.csv, line 2,122 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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