CPT code 22857: Lumbar disc replacement, single interspace2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,548.30 for 22857 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22857 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 22857 covers

A spine surgeon, commonly an orthopedic spine surgeon or neurosurgeon, removes the lumbar disc through an anterior approach, prepares the vertebral endplates, and places an artificial disc prosthesis at one interspace. The operation is generally performed in a hospital or ambulatory surgery setting for selected patients with symptomatic lumbar degenerative disc disease. The work includes the discectomy, endplate preparation, and associated osteophyte removal described for the procedure.

Report 22857 for the primary lumbar interspace; use 22860 for each additional lumbar interspace when applicable. The operative report should identify the lumbar level, anterior approach, disc removal and endplate preparation, and prosthesis placement. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. 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% reduction. Modifier 50 is inappropriate for this single spinal interspace. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team-surgery payment 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 Delaware compares for 22857

Across 109 of 109 payment localities, the facility rate for 22857 runs from $1,407.51 in Arkansas to $1,958.46 in Alaska. Delaware pays $1,548.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22857 rates by state

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

See 22857 in every payment locality

How the 22857 rate is calculated

Each of 22857’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 22857

22857 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 22857

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

How 22857 has changed in Delaware

Price 22857 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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