CPT code 22860: Lumbar disc replacement, additional interspace2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $326.78 for 22860 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22860 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 22860 covers

Code 22860 represents artificial disc replacement at a second lumbar interspace during the same operation. A spine surgeon removes the diseased disc, prepares the vertebral endplates, and places a motion-preserving prosthesis at this additional level. The procedure is generally performed through an anterior approach in a hospital or ambulatory surgical setting for selected patients with lumbar disc disease.

Report 22860 only as an add-on to 22857 when the surgeon replaces a second lumbar interspace in the same operative session. The operative report should identify both treated levels and support disc removal, endplate preparation, and prosthesis placement at the additional level. CMS treats this add-on as paid within the primary procedure’s global period; it is not a standalone service.

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 Virginia compares for 22860

Across 109 of 109 payment localities, the facility rate for 22860 runs from $302.84 in Wisconsin to $435.40 in Alaska. Virginia pays $326.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22860 rates by state

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

See 22860 in every payment locality

How the 22860 rate is calculated

Each of 22860’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 22860

The CMS indicators that decide how 22860 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22860

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

How 22860 has changed in Virginia

Price 22860 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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