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CMS RVU26D · Effective 2026-10-01

22222 in Austin

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$1780.48

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Spine surgery

About 22222: Anterior thoracic spinal osteotomy, one segment

Reports an anterior thoracic spinal osteotomy with discectomy at one vertebral segment, typically performed to release a rigid deformity during reconstruction.

A spine surgeon uses an anterior approach to perform an osteotomy at one thoracic vertebral segment, including the discectomy associated with the release. The procedure may be part of reconstruction for a rigid thoracic deformity, such as scoliosis or kyphosis, when anterior release is needed to help mobilize the spine. It is generally performed in a hospital operating room with an anterior exposure of the thoracic spine.

Select this code when the documented work is an anterior osteotomy at a single thoracic segment. The operative report should establish the spinal region, anterior approach, segment treated, and osteotomy and discectomy performed. This major surgery has a 90-day global period that includes 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. Modifier 50 is inappropriate for this spinal segment service. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 22222

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU22.51 · 42%
  • Practice expense (office) RVU21.11 · 40%
  • Malpractice RVU9.50 · 18%

23

Medicare services in 2024 · #5834 by national volume

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.

22222 compared with similar codes

Office rates for Austin, from the same CMS release.

22212

Spinal osteotomy

Single thoracic segment

No office rate

Use 22222 for the anterior thoracic osteotomy that includes discectomy. Use 22212 when the thoracic osteotomy is performed through a posterior or posterolateral approach.

22224

Spinal osteotomy

Anterior, single lumbar segment

No office rate

The approach and one-segment osteotomy are similar, but 22224 identifies the lumbar region; 22222 identifies the thoracic region.

22226

Spinal osteotomy

Each additional anterior segment

No office rate

22222 reports the first qualifying thoracic segment. 22226 reports each additional segment and is used as an add-on.

22206

Spinal osteotomy

Thoracic, one segment

No office rate

22206 describes a thoracic three-column osteotomy. Choose 22222 for the anterior osteotomy with discectomy at one thoracic segment.

The same code, a different location

How does Austin compare?

22222 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    Unavailable

  2. Beaumont

    Unavailable

    No comparable rate is available in this setting.

  3. Brazoria

    Unavailable

    No comparable rate is available in this setting.

  4. Dallas

    Unavailable

    No comparable rate is available in this setting.

  5. Fort Worth

    Unavailable

    No comparable rate is available in this setting.

  6. Galveston

    Unavailable

    No comparable rate is available in this setting.

  7. Houston

    Unavailable

    No comparable rate is available in this setting.

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 22222

    Office

    Unavailable

    Facility

    $1707.52

    No comparable office rate is available.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 22222

    Office

    Unavailable

    Facility

    $1827.50

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 22222

    Office

    Unavailable

    Facility

    $1976.22

    No comparable office rate is available.

  • Miami

    Florida · 22222

    Office

    Unavailable

    Facility

    $2288.33

    No comparable office rate is available.

  • Chicago

    Illinois · 22222

    Office

    Unavailable

    Facility

    $2193.96

    No comparable office rate is available.

  • Manhattan

    New York · 22222

    Office

    Unavailable

    Facility

    $2122.54

    No comparable office rate is available.

  • Alaska*

    Alaska · 22222

    Office

    Unavailable

    Facility

    $2053.54

    No comparable office rate is available.

  • Alabama

    Alabama · 22222

    Office

    Unavailable

    Facility

    $1548.41

    No comparable office rate is available.

  • Arkansas

    Arkansas · 22222

    Office

    Unavailable

    Facility

    $1520.94

    No comparable office rate is available.

  • Arizona

    Arizona · 22222

    Office

    Unavailable

    Facility

    $1706.71

    No comparable office rate is available.

  • Bakersfield

    California · 22222

    Office

    Unavailable

    Facility

    $1732.16

    No comparable office rate is available.

  • Chico

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • El Centro

    California · 22222

    Office

    Unavailable

    Facility

    $1709.08

    No comparable office rate is available.

  • Fresno

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Hanford-Corcoran

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Madera

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Merced

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Modesto

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Napa

    California · 22222

    Office

    Unavailable

    Facility

    $1889.73

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 22222

    Office

    Unavailable

    Facility

    $1804.01

    No comparable office rate is available.

  • Redding

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Rest Of California

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 22222

    Office

    Unavailable

    Facility

    $1808.83

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 22222

    Office

    Unavailable

    Facility

    $1769.02

    No comparable office rate is available.

  • Salinas

    California · 22222

    Office

    Unavailable

    Facility

    $1762.44

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 22222

    Office

    Unavailable

    Facility

    $1789.68

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 22222

    Office

    Unavailable

    Facility

    $1963.11

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 22222

    Office

    Unavailable

    Facility

    $1952.32

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 22222

    Office

    Unavailable

    Facility

    $2021.38

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 22222

    Office

    Unavailable

    Facility

    $1977.27

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 22222

    Office

    Unavailable

    Facility

    $1737.81

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 22222

    Office

    Unavailable

    Facility

    $1794.41

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 22222

    Office

    Unavailable

    Facility

    $1765.12

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 22222

    Office

    Unavailable

    Facility

    $1810.34

    No comparable office rate is available.

  • Stockton

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Vallejo

    California · 22222

    Office

    Unavailable

    Facility

    $1874.18

    No comparable office rate is available.

  • Visalia

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Yuba City

    California · 22222

    Office

    Unavailable

    Facility

    $1707.50

    No comparable office rate is available.

  • Colorado

    Colorado · 22222

    Office

    Unavailable

    Facility

    $1758.91

    No comparable office rate is available.

  • Connecticut

    Connecticut · 22222

    Office

    Unavailable

    Facility

    $1910.22

    No comparable office rate is available.

  • Delaware

    Delaware · 22222

    Office

    Unavailable

    Facility

    $1737.51

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 22222

    Office

    Unavailable

    Facility

    $2039.81

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 22222

    Office

    Unavailable

    Facility

    $1902.84

    No comparable office rate is available.

  • Atlanta

    Georgia · 22222

    Office

    Unavailable

    Facility

    $1851.57

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 22222

    Office

    Unavailable

    Facility

    $1759.03

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 22222

    Office

    Unavailable

    Facility

    $1737.27

    No comparable office rate is available.

  • Iowa

    Iowa · 22222

    Office

    Unavailable

    Facility

    $1522.99

    No comparable office rate is available.

  • Idaho

    Idaho · 22222

    Office

    Unavailable

    Facility

    $1550.63

    No comparable office rate is available.

  • East St. Louis

    Illinois · 22222

    Office

    Unavailable

    Facility

    $2039.60

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 22222

    Office

    Unavailable

    Facility

    $1891.56

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 22222

    Office

    Unavailable

    Facility

    $2043.52

    No comparable office rate is available.

  • Indiana

    Indiana · 22222

    Office

    Unavailable

    Facility

    $1559.69

    No comparable office rate is available.

  • Kansas

    Kansas · 22222

    Office

    Unavailable

    Facility

    $1549.18

    No comparable office rate is available.

  • Kentucky

    Kentucky · 22222

    Office

    Unavailable

    Facility

    $1669.02

    No comparable office rate is available.

  • New Orleans

    Louisiana · 22222

    Office

    Unavailable

    Facility

    $1775.81

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 22222

    Office

    Unavailable

    Facility

    $1679.84

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 22222

    Office

    Unavailable

    Facility

    $1906.97

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 22222

    Office

    Unavailable

    Facility

    $1759.24

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 22222

    Office

    Unavailable

    Facility

    $1912.96

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 22222

    Office

    Unavailable

    Facility

    $1764.22

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 22222

    Office

    Unavailable

    Facility

    $1597.91

    No comparable office rate is available.

  • Southern Maine

    Maine · 22222

    Office

    Unavailable

    Facility

    $1650.82

    No comparable office rate is available.

  • Detroit

    Michigan · 22222

    Office

    Unavailable

    Facility

    $1967.25

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 22222

    Office

    Unavailable

    Facility

    $1753.85

    No comparable office rate is available.

  • Minnesota

    Minnesota · 22222

    Office

    Unavailable

    Facility

    $1571.32

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 22222

    Office

    Unavailable

    Facility

    $1723.95

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 22222

    Office

    Unavailable

    Facility

    $1741.05

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 22222

    Office

    Unavailable

    Facility

    $1668.70

    No comparable office rate is available.

  • Mississippi

    Mississippi · 22222

    Office

    Unavailable

    Facility

    $1593.43

    No comparable office rate is available.

  • Montana**

    Montana · 22222

    Office

    Unavailable

    Facility

    $1773.62

    No comparable office rate is available.

  • North Carolina

    North Carolina · 22222

    Office

    Unavailable

    Facility

    $1612.47

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 22222

    Office

    Unavailable

    Facility

    $1585.77

    No comparable office rate is available.

  • Nebraska

    Nebraska · 22222

    Office

    Unavailable

    Facility

    $1522.60

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 22222

    Office

    Unavailable

    Facility

    $1763.50

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 22222

    Office

    Unavailable

    Facility

    $1956.01

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 22222

    Office

    Unavailable

    Facility

    $1899.98

    No comparable office rate is available.

  • New Mexico

    New Mexico · 22222

    Office

    Unavailable

    Facility

    $1779.51

    No comparable office rate is available.

  • Nevada**

    Nevada · 22222

    Office

    Unavailable

    Facility

    $1721.97

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 22222

    Office

    Unavailable

    Facility

    $2227.57

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 22222

    Office

    Unavailable

    Facility

    $1941.71

    No comparable office rate is available.

  • Queens

    New York · 22222

    Office

    Unavailable

    Facility

    $2090.95

    No comparable office rate is available.

  • Rest Of New York

    New York · 22222

    Office

    Unavailable

    Facility

    $1644.76

    No comparable office rate is available.

  • Ohio

    Ohio · 22222

    Office

    Unavailable

    Facility

    $1715.45

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 22222

    Office

    Unavailable

    Facility

    $1628.05

    No comparable office rate is available.

  • Portland

    Oregon · 22222

    Office

    Unavailable

    Facility

    $1783.32

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 22222

    Office

    Unavailable

    Facility

    $1677.19

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 22222

    Office

    Unavailable

    Facility

    $1877.94

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 22222

    Office

    Unavailable

    Facility

    $1698.99

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 22222

    Office

    Unavailable

    Facility

    $1777.25

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 22222

    Office

    Unavailable

    Facility

    $1777.54

    No comparable office rate is available.

  • South Carolina

    South Carolina · 22222

    Office

    Unavailable

    Facility

    $1673.07

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 22222

    Office

    Unavailable

    Facility

    $1563.56

    No comparable office rate is available.

  • Tennessee

    Tennessee · 22222

    Office

    Unavailable

    Facility

    $1563.18

    No comparable office rate is available.

  • Utah

    Utah · 22222

    Office

    Unavailable

    Facility

    $1699.58

    No comparable office rate is available.

  • Virginia

    Virginia · 22222

    Office

    Unavailable

    Facility

    $1668.98

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 22222

    Office

    Unavailable

    Facility

    $1777.25

    No comparable office rate is available.

  • Vermont

    Vermont · 22222

    Office

    Unavailable

    Facility

    $1610.45

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 22222

    Office

    Unavailable

    Facility

    $1745.56

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 22222

    Office

    Unavailable

    Facility

    $1913.84

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 22222

    Office

    Unavailable

    Facility

    $1525.06

    No comparable office rate is available.

  • West Virginia

    West Virginia · 22222

    Office

    Unavailable

    Facility

    $1818.65

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 22222

    Office

    Unavailable

    Facility

    $1691.76

    No comparable office rate is available.

See how rates vary across the country

22222 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

Explore a state

Local rates. Clear comparisons.

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

View all state and territory rates as a table
State / territoryRate 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

Explore 22222 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 22222 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1958.53

$1780.48 × 110% = $1958.53

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 22222 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,059

Code
22222
Physician work
22.51
Practice expense
21.11
Malpractice
9.50

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Facility calculation for 22222 in Austin
ComponentRVULocality factorAdjusted
Physician work22.51× 1.00222.5550
Practice expense21.11× 1.05822.3344
Malpractice9.50× 0.8868.4170
Total RVUs53.3064
Conversion factor× 33.4009

Facility rate, Austin$1780.48

Open 22222 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work22.511.002
Practice expense21.111.058
Malpractice9.50.886

(22.51 × 1.002 + 21.11 × 1.058 + 9.5 × 0.886) × $33.4009 = $1780.48

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

22222 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$1780.48RVU26D
2026-07-01Not available in this setting$1780.48RVU26C
2026-04-01Not available in this setting$1780.48RVU26B
2026-01-01Not available in this setting$1780.48RVU26A
2025-10-01Not available in this setting$1755.57RVU25D
2025-07-01Not available in this setting$1755.57RVU25C
2025-04-01Not available in this setting$1755.57RVU25B
2025-01-01Not available in this setting$1755.57RVU25A

22222 billing questions

How does this differ from 22212?

22222 describes an anterior thoracic osteotomy that includes discectomy. 22212 is a thoracic osteotomy performed through a posterior or posterolateral approach.

Can the discectomy be billed separately?

The discectomy associated with this anterior osteotomy is included in the service. The operative report should document it as part of the osteotomy rather than treating it as a separate service.

When should 22226 be reported with 22222?

22226 is the add-on code for each additional vertebral segment treated with the qualifying anterior osteotomy. Report 22222 for the first thoracic segment and document the additional segment work.

Should modifier 50 be appended for bilateral thoracic work?

No. Modifier 50 is inappropriate because this code identifies a spinal segment, not paired anatomy.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and the service cannot be billed as team surgery.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 22222PPRRVU2026_Oct_nonQPP.csv, line 2,059 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)