CPT code 22861: Disc revision, single cervical interspace2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $2,484.65 for 22861 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22861 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 22861 covers

During this anterior cervical operation, the surgeon revises or replaces an existing artificial disc at one intervertebral level. The work addresses the existing implant; it is distinct from placing a new disc for the first time. An orthopedic spine surgeon or neurosurgeon typically performs the procedure in an operating room, such as a hospital or ambulatory surgical facility.

Select the code based on the cervical location, single interspace, and revision or replacement performed. The operative report should identify the existing artificial disc, level, anterior approach, and work performed. Medicare treats this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to a 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, and co-surgeons are permitted; 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 Washington, DC area compares for 22861

Across 109 of 109 payment localities, the facility rate for 22861 runs from $1,901.98 in Wisconsin to $2,978.93 in Miami, FL. Washington, DC area pays $2,484.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22861 rates by state

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

See 22861 in every payment locality

How the 22861 rate is calculated

Each of 22861’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 22861

22861 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 22861

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

How 22861 has changed in Washington, DC area

Price 22861 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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