CPT code 22864: Disc removal, cervical, single interspace2026 Medicare rate & RVUs in Florida
Reports anterior removal of a cervical artificial disc at one interspace, without the revision or replacement service represented by a different code.
CMS doesn’t publish an office rate for 22864 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 22864 covers
A spine surgeon uses an anterior approach to remove an implanted artificial disc from one cervical interspace. This service may be performed when a cervical disc prosthesis must be taken out, such as during treatment of a device-related problem or when the surgical plan changes. It is reported for removal of the arthroplasty device, not simply removal of separate anterior fixation hardware.
The operative report should identify the cervical interspace, anterior approach, and removal performed, and distinguish removal alone from revision or replacement of the prosthesis. CMS assigns a 90-day major-surgery 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 other procedures are subject to the standard 50% reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment 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.
Where 22864 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $2,356.74 |
| Miami, FL | Unavailable | $2,667.06 |
| Rest of Florida | Unavailable | $2,195.73 |
How the 22864 rate is calculated
Each of 22864’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 · 22864
RVUs × geographic indexes × conversion factor
Work28.67
28.67 RVUs× 1.000 GPCI
Practice expense19.72
19.72 RVUs× 1.000 GPCI
Malpractice12.12
12.12 RVUs× 1.000 GPCI
Adjusted RVUs
60.5100
Conversion factor
$33.4009
Medicare rate
$2,021.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 22864
22864 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22864
Disc removal, cervical, single interspace
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 22864
Disc removal, cervical, single interspace
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
22864 without 51 · national facility
$2,021.09
Disc removal, cervical, single interspace
22864-51 · Second procedure: 50%
$1,010.55
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
22864 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 22861Disc revisionSingle cervical interspace
- Choose 22864 for removal of a cervical artificial disc without revision or replacement. Choose 22861 when the service revises or replaces the cervical prosthesis.
- 22865Disc removalSingle lumbar interspace
- Both codes describe removal of an artificial disc at one interspace; 22864 is for the cervical region and 22865 for the lumbar region.
- 22855Hardware removalAnterior spinal instrumentation
- 22864 removes the artificial disc prosthesis. 22855 concerns removal of anterior instrumentation, such as separate fixation hardware.
22864 billing questions
When should this code be chosen instead of 22861?
Use this code when the cervical artificial disc is removed without the revision or replacement service. Code 22861 describes revision or replacement of a cervical artificial disc.
Does this code cover removal of anterior fixation hardware?
No. It represents removal of the artificial disc prosthesis. Code 22855 concerns removal of anterior instrumentation, which is a different target.
What global period applies?
CMS assigns a 90-day global period for major surgery. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this service. Team surgery is not permitted.
Can modifier 50 be used for removal at two sides?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
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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