CPT code 22853: Interbody device, with interbody arthrodesis2026 Medicare rate & RVUs in South Dakota
Reports placement of a biomechanical device in an intervertebral disc space during fusion, counted once for each treated interspace.
In South Dakota, Medicare pays $199.30 for 22853 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 22853 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 22853 covers
This code represents placement of a biomechanical implant, such as a cage, into an intervertebral disc space during an interbody fusion. The device helps maintain disc-space height and support the fusion; its integral anterior instrumentation for interspace distraction is part of the service. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, commonly perform this work during cervical or lumbar fusion procedures in an operating room.
Report one unit for each interspace receiving a device, not for each implant placed within that space. The operative report should identify the treated disc spaces, device placement, and the associated interbody arthrodesis. This is an add-on code: submit it with the primary fusion procedure, not by itself. CMS pays it 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 South Dakota compares for 22853
Across 109 of 109 payment localities, the facility rate for 22853 runs from $196.12 in Wisconsin to $298.61 in Miami, FL. South Dakota pays $199.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$199.30
- Los Angeles, CA · California$227.97+$28.67
- Washington, DC area · District of Columbia$249.49+$50.19
- Miami, FL · Florida$298.61+$99.31
- Chicago, IL · Illinois$287.52+$88.22
- Manhattan, NY · New York$271.15+$71.85
- Alaska · Alaska$280.99+$81.69
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $203.75 |
| ArkansasArkansas | — | $200.75 |
| ArizonaArizona | — | $220.97 |
| Bakersfield, CACalifornia | — | $218.48 |
| Chico, CACalifornia | — | $214.96 |
| El Centro, CACalifornia | — | $215.18 |
| Fresno, CACalifornia | — | $214.96 |
| Hanford, CACalifornia | — | $214.96 |
| Madera, CACalifornia | — | $214.96 |
| Merced, CACalifornia | — | $214.96 |
| Modesto, CACalifornia | — | $214.96 |
| Napa, CACalifornia | — | $230.31 |
| Oxnard, CACalifornia | — | $224.31 |
| Redding, CACalifornia | — | $214.96 |
| Rest of CaliforniaCalifornia | — | $214.96 |
| Riverside, CACalifornia | — | $229.18 |
| Sacramento, CACalifornia | — | $220.68 |
| Salinas, CACalifornia | — | $219.80 |
| San Diego, CACalifornia | — | $221.63 |
| Marin County, CACalifornia | — | $236.80 |
| San Francisco, CACalifornia | — | $235.29 |
| San Benito County, CACalifornia | — | $243.77 |
| Santa Clara County, CACalifornia | — | $237.59 |
| San Luis Obispo, CACalifornia | — | $216.94 |
| Santa Cruz, CACalifornia | — | $221.00 |
| Santa Maria, CACalifornia | — | $219.71 |
| Santa Rosa, CACalifornia | — | $222.84 |
| Stockton, CACalifornia | — | $214.96 |
| Vallejo, CACalifornia | — | $228.13 |
| Visalia, CACalifornia | — | $214.96 |
| Yuba City, CACalifornia | — | $214.96 |
| ColoradoColorado | — | $223.68 |
| ConnecticutConnecticut | — | $244.44 |
| DelawareDelaware | — | $224.45 |
| Fort Lauderdale, FLFlorida | — | $265.29 |
| Rest of FloridaFlorida | — | $249.11 |
| Atlanta, GAGeorgia | — | $238.88 |
| Rest of GeorgiaGeorgia | — | $232.35 |
| Hawaii, Guam, HIHawaii | — | $216.41 |
| IowaIowa | — | $198.09 |
| IdahoIdaho | — | $201.70 |
| East St. Louis, ILIllinois | — | $270.15 |
| Rest of IllinoisIllinois | — | $249.80 |
| Suburban Chicago, ILIllinois | — | $265.30 |
| IndianaIndiana | — | $202.60 |
| KansasKansas | — | $202.34 |
| KentuckyKentucky | — | $219.90 |
| New Orleans, LALouisiana | — | $232.12 |
| Rest of LouisianaLouisiana | — | $221.63 |
| Metropolitan Boston, MAMassachusetts | — | $238.52 |
| Rest of MassachusettsMassachusetts | — | $224.43 |
| Baltimore area, MDMaryland | — | $244.90 |
| Rest of MarylandMaryland | — | $227.09 |
| Rest of MaineMaine | — | $208.32 |
| Southern Maine, MEMaine | — | $211.99 |
| Detroit, MIMichigan | — | $257.66 |
| Rest of MichiganMichigan | — | $230.52 |
| MinnesotaMinnesota | — | $198.86 |
| Metropolitan Kansas City, MOMissouri | — | $224.96 |
| Metropolitan St. Louis, MOMissouri | — | $226.67 |
| Rest of MissouriMissouri | — | $221.28 |
| MississippiMississippi | — | $210.79 |
| MontanaMontana | — | $228.71 |
| North CarolinaNorth Carolina | — | $209.67 |
| North DakotaNorth Dakota | — | $202.41 |
| NebraskaNebraska | — | $197.62 |
| New HampshireNew Hampshire | — | $225.13 |
| Northern New JerseyNew Jersey | — | $247.90 |
| Rest of New JerseyNew Jersey | — | $242.88 |
| New MexicoNew Mexico | — | $233.90 |
| NevadaNevada | — | $221.42 |
| NYC suburbs and Long Island, NYNew York | — | $284.43 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $248.73 |
| Queens, NYNew York | — | $265.67 |
| Rest of New YorkNew York | — | $213.30 |
| OhioOhio | — | $225.14 |
| OklahomaOklahoma | — | $213.96 |
| Portland, OROregon | — | $224.75 |
| Rest of OregonOregon | — | $215.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $241.75 |
| Rest of PennsylvaniaPennsylvania | — | $222.57 |
| Puerto RicoPuerto Rico | — | $228.64 |
| Rhode IslandRhode Island | — | $228.15 |
| South CarolinaSouth Carolina | — | $218.63 |
| TennesseeTennessee | — | $204.03 |
| Austin, TXTexas | — | $226.68 |
| Beaumont, TXTexas | — | $221.49 |
| Brazoria, TXTexas | — | $219.71 |
| Dallas, TXTexas | — | $223.55 |
| Fort Worth, TXTexas | — | $223.66 |
| Galveston, TXTexas | — | $221.94 |
| Houston, TXTexas | — | $246.28 |
| Rest of TexasTexas | — | $222.14 |
| UtahUtah | — | $221.50 |
| VirginiaVirginia | — | $214.95 |
| Virgin Islands, VIUnited States Virgin Islands | — | $228.64 |
| VermontVermont | — | $206.39 |
| Rest of WashingtonWashington | — | $222.42 |
| King County, WAWashington | — | $238.04 |
| WisconsinWisconsin | — | $196.12 |
| West VirginiaWest Virginia | — | $241.90 |
| WyomingWyoming | — | $217.25 |
22853 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 22853 rate is calculated
Each of 22853’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 · 22853
RVUs × geographic indexes × conversion factor
Work4.14
4.14 RVUs× 1.000 GPCI
Practice expense1.38
1.38 RVUs× 1.000 GPCI
Malpractice1.33
1.33 RVUs× 1.000 GPCI
Adjusted RVUs
6.8500
Conversion factor
$33.4009
Medicare rate
$228.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,124
- Code
- 22853
- Physician work
- 4.14
- Practice expense
- 1.38
- Malpractice
- 1.33
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 1.38 | × 1.000 | 1.3800 |
| Malpractice | 1.33 | × 0.336 | 0.4469 |
| Total RVUs | 5.9669 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$199.30
Facility: (4.14 × 1 + 1.38 × 1 + 1.33 × 0.336) × $33.4009 = $199.30
Payment rules and modifiers for 22853
The CMS indicators that decide how 22853 is paid alongside other services.
CMS payment indicators · 22853
Interbody device, with interbody arthrodesis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
22853 without 80 · national facility
$228.80
Interbody device, with interbody arthrodesis
22853-80 · Assistant: 16%
$36.61
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 22853 has changed in South Dakota
22853 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
January 1, 2017
RVU17A
No ratechanged toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $199.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $199.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $199.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $199.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $223.58 | RVU25D |
| 2025-07-01 | Not available in this setting | $223.58 | RVU25C |
| 2025-04-01 | Not available in this setting | $223.58 | RVU25B |
| 2025-01-01 | Not available in this setting | $223.58 | RVU25A |
| 2024-10-01 | Not available in this setting | $228.75 | RVU24D |
| 2024-07-01 | Not available in this setting | $228.75 | RVU24C |
| 2024-04-01 | Not available in this setting | $228.75 | RVU24B |
| 2024-03-09 | Not available in this setting | $228.75 | RVU24AR |
| 2024-01-01 | Not available in this setting | $225.01 | RVU24A |
| 2023-10-01 | Not available in this setting | $232.02 | RVU23D |
| 2023-07-01 | Not available in this setting | $232.02 | RVU23C |
| 2023-04-01 | Not available in this setting | $232.02 | RVU23B |
| 2023-01-01 | Not available in this setting | $232.02 | RVU23A |
| 2022-10-01 | Not available in this setting | $234.43 | RVU22D |
| 2022-07-01 | Not available in this setting | $234.43 | RVU22C |
| 2022-04-01 | Not available in this setting | $234.43 | RVU22B |
| 2022-01-01 | Not available in this setting | $234.43 | RVU22A |
| 2021-10-01 | Not available in this setting | $236.71 | RVU21D |
| 2021-07-01 | Not available in this setting | $236.71 | RVU21C |
| 2021-04-01 | Not available in this setting | $236.71 | RVU21B |
| 2021-01-01 | Not available in this setting | $236.71 | RVU21A |
| 2020-10-01 | Not available in this setting | $243.11 | RVU20D |
| 2020-07-01 | Not available in this setting | $243.11 | RVU20C |
| 2020-04-01 | Not available in this setting | $243.11 | RVU20B |
| 2020-01-01 | Not available in this setting | $243.11 | RVU20A |
| 2019-10-01 | Not available in this setting | $244.13 | RVU19D |
| 2019-07-01 | Not available in this setting | $244.13 | RVU19C |
| 2019-04-01 | Not available in this setting | $244.13 | RVU19B |
| 2019-01-01 | Not available in this setting | $244.13 | RVU19A |
| 2018-10-01 | Not available in this setting | $240.22 | RVU18D |
| 2018-07-01 | Not available in this setting | $240.22 | RVU18C |
| 2018-04-01 | Not available in this setting | $240.22 | RVU18B |
| 2018-01-01 | Not available in this setting | $240.22 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $244.66 | RVU17D |
| 2017-07-01 | Not available in this setting | $244.66 | RVU17C |
| 2017-04-01 | Not available in this setting | $244.66 | RVU17B |
| 2017-01-01 | Not available in this setting | $244.66 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
22853 billing questions
How is 22853 distinguished from 22854?
22853 is for a biomechanical device placed in an intervertebral disc space during interbody arthrodesis. 22854 addresses device placement in a vertebral body defect, such as one created by corpectomy.
Can 22853 be reported without a fusion procedure?
No. It is an add-on code and must be billed with a primary procedure; the device placement is performed in conjunction with interbody arthrodesis.
How many units are reported when multiple cages are placed?
Count the treated interspaces. Report one unit per interspace, rather than one unit for each individual implant placed in the same space.
Does 22853 include the fusion itself?
No. It represents the biomechanical device placement. Report the applicable primary interbody fusion procedure separately.
What documentation supports 22853?
The operative report should identify each interspace treated, the device placed there, and the interbody arthrodesis performed at that level.
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
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