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Billing code 22216: Spinal osteotomyMedicare rate & RVUs

Report this add-on for each additional vertebral segment treated with a posterior or posterolateral spinal osteotomy beyond the first segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities18.6K Medicare services in 2024

Medicare pays $320.65 for 22216 nationally in a facility.

Medicare rate · 22216

Spinal osteotomy

Swap in your local Medicare rate.

Work RVUs
5.88
Total RVUs
9.60
Global days
ZZZ

National rate · 2026

$320.65

Facility setting, before claim adjustments.

See every locality for 22216 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 22216 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 22216 covers

This add-on represents an additional vertebral segment treated during a posterior or posterolateral spinal osteotomy, including the discectomy described for this procedure family. Spine surgeons may perform these osteotomies during surgery to correct spinal deformity, such as kyphosis or scoliosis. The code applies to an additional segment beyond the first; the primary code identifies the spinal region and the initial segment treated.

Report 22216 with the corresponding primary osteotomy code for the first segment, selecting that code by cervical, thoracic, or lumbar region. Documentation should identify the approach, the vertebral segments treated, and the osteotomy performed at each additional segment. The add-on is billed only with a primary procedure and its payment falls within that procedure’s global period.

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 22216 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

22216 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$286.85
Alaska*Unavailable$396.54
ArizonaUnavailable$310.12
ArkansasUnavailable$282.79
AtlantaUnavailable$334.16
AustinUnavailable$318.08
BakersfieldUnavailable$307.52
Baltimore/Surr. CntysUnavailable$342.56
BeaumontUnavailable$310.59
BrazoriaUnavailable$308.63

22216 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
22216 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 22216 rate is calculated

Each of 22216’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 · 22216

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.88Practice expense 1.95Malpractice 1.77

9.6000 adjusted RVUs×$33.4009 conversion factor=$320.65

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 22216

The CMS indicators that decide how 22216 is paid alongside other services.

CMS payment indicators · 22216

Spinal osteotomy

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

22216 without 80 · national facility

$320.65

Spinal osteotomy

22216-80 · Assistant: 16%

$51.30

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

22216 compared with similar codes

Compare codes

22216 vs 22214 vs 22208 vs 22224: national Medicare rates

Swap in your local Medicare rate.

  • 22216
    Spinal osteotomy · 5.88 wRVU
    —
  • 22214
    Spine osteotomy · 20.49 wRVU
    —
  • 22208
    Spinal osteotomy · 9.42 wRVU
    —
  • 22224
    Spinal osteotomy · 22.51 wRVU
    —

How to choose

22214Spine osteotomy
22214 reports the first lumbar segment treated. 22216 reports each additional segment and is not a stand-alone substitute for the primary code.
22208Spinal osteotomy
22208 is the additional-segment code for a three-column spinal osteotomy. Choose the add-on that matches the osteotomy type documented.
22224Spinal osteotomy
22224 describes a single-segment lumbar osteotomy through an anterior approach. 22216 is for additional segments in the posterior or posterolateral osteotomy series.

Codes related to 22216

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

Codes related to 22216
CodeHow it relatesNational office range
Add-on codes
22210Spinal osteotomyPrimary cervical posterior or posterolateral osteotomy code for the first segment.No office rate
22212Spinal osteotomyPrimary thoracic posterior or posterolateral osteotomy code for the first segment.No office rate
22214Spine osteotomyPrimary lumbar posterior or posterolateral osteotomy code for the first segment.No office rate

22216 billing questions

When is 22216 reported instead of 22214?

22214 reports the first lumbar segment treated with the applicable posterior or posterolateral osteotomy. Use 22216 for each additional segment treated in that procedure.

Which primary code must accompany 22216?

Report it with the primary code for the first segment: 22210 for cervical, 22212 for thoracic, or 22214 for lumbar.

How many units of 22216 should be reported?

Report one unit for each additional vertebral segment treated beyond the first. The operative report should support the number and location of those segments.

Can the included discectomy be billed separately as part of this service?

The osteotomy code family includes discectomy in its described service. Do not separately report the discectomy when it is part of the work represented by the osteotomy.

How does the add-on payment relate to the primary procedure?

22216 is billed only with a primary procedure, and its payment falls within that primary procedure’s global period.

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
RVUs for 22216PPRRVU2026_Oct_nonQPP.csv, line 2,057 (RVU26D)

Open CMS sourceHow we calculate rates

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