CPT code 22862: Disc revision, lumbar, one interspace2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,969.62 for 22862 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22862 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 22862 covers

This service addresses a previously implanted total artificial disc in a single lumbar interspace through an anterior approach, with revision or replacement work on the prosthesis. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, commonly perform it in an operating room. The operative work may include exposing the disc space, correcting the implant problem, and placing a replacement prosthesis.

Report one unit for the treated interspace and document the prior implant, level, reason for revision, and work performed, including whether a replacement was placed. Medicare pays only in specific circumstances, so the record must support the applicable coverage circumstances. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others receive the standard 50% reduction. Modifier 50 is inappropriate for this descriptor and anatomy. An assistant at surgery may be paid; co-surgeons and team surgery are 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 South Dakota compares for 22862

Across 109 of 109 payment localities, the facility rate for 22862 runs from $1,925.29 in Wisconsin to $2,985.82 in Miami, FL. South Dakota pays $1,969.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22862 rates by state

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

See 22862 in every payment locality

How the 22862 rate is calculated

Each of 22862’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 22862

22862 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 22862

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

How 22862 has changed in South Dakota

Price 22862 for an earlier date of service

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

Browse all communities in South Dakota

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