No office rate
Use 22853 for a device placed in an intervertebral disc space during arthrodesis. 22854 is for a vertebral body defect, such as a corpectomy defect.
On this page
CMS RVU26D · Effective 2026-10-01
22853 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$226.68
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 22853: Interbody fusion cage placement
Reports placement of a biomechanical device in an intervertebral disc space during fusion, counted once for each treated interspace.
This code represents placement of a biomechanical implant, such as a cage, into an intervertebral disc space during an interbody fusion. The device helps maintain disc-space height and support the fusion; its integral anterior instrumentation for interspace distraction is part of the service. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, commonly perform this work during cervical or lumbar fusion procedures in an operating room.
Report one unit for each interspace receiving a device, not for each implant placed within that space. The operative report should identify the treated disc spaces, device placement, and the associated interbody arthrodesis. This is an add-on code: submit it with the primary fusion procedure, not by itself. CMS pays it within the primary procedure’s global period.
CMS billing rules for 22853
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.14 · 60%
- Practice expense (office) RVU1.38 · 20%
- Malpractice RVU1.33 · 19%
214.9K
Medicare services in 2024 · #370 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.
22853 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
22859 describes biomechanical device placement without interbody arthrodesis. 22853 is used when the device is placed as part of an interbody fusion.
No office rate
22845 represents anterior spinal instrumentation, while 22853 represents interbody device placement with integral anterior instrumentation for disc-space distraction.
The same code, a different location
How does Austin compare?
22853 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
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 · 22853
Office
Unavailable
Facility
$222.14
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 22853
Office
Unavailable
Facility
$227.97
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22853
Office
Unavailable
Facility
$249.49
No comparable office rate is available.
Miami
Florida · 22853
Office
Unavailable
Facility
$298.61
No comparable office rate is available.
Chicago
Illinois · 22853
Office
Unavailable
Facility
$287.52
No comparable office rate is available.
Manhattan
New York · 22853
Office
Unavailable
Facility
$271.15
No comparable office rate is available.
Alaska*
Alaska · 22853
Office
Unavailable
Facility
$280.99
No comparable office rate is available.
Alabama
Alabama · 22853
Office
Unavailable
Facility
$203.75
No comparable office rate is available.
Arkansas
Arkansas · 22853
Office
Unavailable
Facility
$200.75
No comparable office rate is available.
Arizona
Arizona · 22853
Office
Unavailable
Facility
$220.97
No comparable office rate is available.
Bakersfield
California · 22853
Office
Unavailable
Facility
$218.48
No comparable office rate is available.
Chico
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
El Centro
California · 22853
Office
Unavailable
Facility
$215.18
No comparable office rate is available.
Fresno
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Hanford-Corcoran
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Madera
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Merced
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Modesto
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Napa
California · 22853
Office
Unavailable
Facility
$230.31
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22853
Office
Unavailable
Facility
$224.31
No comparable office rate is available.
Redding
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Rest Of California
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22853
Office
Unavailable
Facility
$229.18
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22853
Office
Unavailable
Facility
$220.68
No comparable office rate is available.
Salinas
California · 22853
Office
Unavailable
Facility
$219.80
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22853
Office
Unavailable
Facility
$221.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22853
Office
Unavailable
Facility
$236.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22853
Office
Unavailable
Facility
$235.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22853
Office
Unavailable
Facility
$243.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22853
Office
Unavailable
Facility
$237.59
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22853
Office
Unavailable
Facility
$216.94
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22853
Office
Unavailable
Facility
$221.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22853
Office
Unavailable
Facility
$219.71
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22853
Office
Unavailable
Facility
$222.84
No comparable office rate is available.
Stockton
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Vallejo
California · 22853
Office
Unavailable
Facility
$228.13
No comparable office rate is available.
Visalia
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Yuba City
California · 22853
Office
Unavailable
Facility
$214.96
No comparable office rate is available.
Colorado
Colorado · 22853
Office
Unavailable
Facility
$223.68
No comparable office rate is available.
Connecticut
Connecticut · 22853
Office
Unavailable
Facility
$244.44
No comparable office rate is available.
Delaware
Delaware · 22853
Office
Unavailable
Facility
$224.45
No comparable office rate is available.
Fort Lauderdale
Florida · 22853
Office
Unavailable
Facility
$265.29
No comparable office rate is available.
Rest Of Florida
Florida · 22853
Office
Unavailable
Facility
$249.11
No comparable office rate is available.
Atlanta
Georgia · 22853
Office
Unavailable
Facility
$238.88
No comparable office rate is available.
Rest Of Georgia
Georgia · 22853
Office
Unavailable
Facility
$232.35
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22853
Office
Unavailable
Facility
$216.41
No comparable office rate is available.
Iowa
Iowa · 22853
Office
Unavailable
Facility
$198.09
No comparable office rate is available.
Idaho
Idaho · 22853
Office
Unavailable
Facility
$201.70
No comparable office rate is available.
East St. Louis
Illinois · 22853
Office
Unavailable
Facility
$270.15
No comparable office rate is available.
Rest Of Illinois
Illinois · 22853
Office
Unavailable
Facility
$249.80
No comparable office rate is available.
Suburban Chicago
Illinois · 22853
Office
Unavailable
Facility
$265.30
No comparable office rate is available.
Indiana
Indiana · 22853
Office
Unavailable
Facility
$202.60
No comparable office rate is available.
Kansas
Kansas · 22853
Office
Unavailable
Facility
$202.34
No comparable office rate is available.
Kentucky
Kentucky · 22853
Office
Unavailable
Facility
$219.90
No comparable office rate is available.
New Orleans
Louisiana · 22853
Office
Unavailable
Facility
$232.12
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22853
Office
Unavailable
Facility
$221.63
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22853
Office
Unavailable
Facility
$238.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22853
Office
Unavailable
Facility
$224.43
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22853
Office
Unavailable
Facility
$244.90
No comparable office rate is available.
Rest Of Maryland
Maryland · 22853
Office
Unavailable
Facility
$227.09
No comparable office rate is available.
Rest Of Maine
Maine · 22853
Office
Unavailable
Facility
$208.32
No comparable office rate is available.
Southern Maine
Maine · 22853
Office
Unavailable
Facility
$211.99
No comparable office rate is available.
Detroit
Michigan · 22853
Office
Unavailable
Facility
$257.66
No comparable office rate is available.
Rest Of Michigan
Michigan · 22853
Office
Unavailable
Facility
$230.52
No comparable office rate is available.
Minnesota
Minnesota · 22853
Office
Unavailable
Facility
$198.86
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22853
Office
Unavailable
Facility
$224.96
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22853
Office
Unavailable
Facility
$226.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 22853
Office
Unavailable
Facility
$221.28
No comparable office rate is available.
Mississippi
Mississippi · 22853
Office
Unavailable
Facility
$210.79
No comparable office rate is available.
Montana**
Montana · 22853
Office
Unavailable
Facility
$228.71
No comparable office rate is available.
North Carolina
North Carolina · 22853
Office
Unavailable
Facility
$209.67
No comparable office rate is available.
North Dakota**
North Dakota · 22853
Office
Unavailable
Facility
$202.41
No comparable office rate is available.
Nebraska
Nebraska · 22853
Office
Unavailable
Facility
$197.62
No comparable office rate is available.
New Hampshire
New Hampshire · 22853
Office
Unavailable
Facility
$225.13
No comparable office rate is available.
Northern Nj
New Jersey · 22853
Office
Unavailable
Facility
$247.90
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22853
Office
Unavailable
Facility
$242.88
No comparable office rate is available.
New Mexico
New Mexico · 22853
Office
Unavailable
Facility
$233.90
No comparable office rate is available.
Nevada**
Nevada · 22853
Office
Unavailable
Facility
$221.42
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22853
Office
Unavailable
Facility
$284.43
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22853
Office
Unavailable
Facility
$248.73
No comparable office rate is available.
Queens
New York · 22853
Office
Unavailable
Facility
$265.67
No comparable office rate is available.
Rest Of New York
New York · 22853
Office
Unavailable
Facility
$213.30
No comparable office rate is available.
Ohio
Ohio · 22853
Office
Unavailable
Facility
$225.14
No comparable office rate is available.
Oklahoma
Oklahoma · 22853
Office
Unavailable
Facility
$213.96
No comparable office rate is available.
Portland
Oregon · 22853
Office
Unavailable
Facility
$224.75
No comparable office rate is available.
Rest Of Oregon
Oregon · 22853
Office
Unavailable
Facility
$215.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22853
Office
Unavailable
Facility
$241.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22853
Office
Unavailable
Facility
$222.57
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22853
Office
Unavailable
Facility
$228.64
No comparable office rate is available.
Rhode Island
Rhode Island · 22853
Office
Unavailable
Facility
$228.15
No comparable office rate is available.
South Carolina
South Carolina · 22853
Office
Unavailable
Facility
$218.63
No comparable office rate is available.
South Dakota**
South Dakota · 22853
Office
Unavailable
Facility
$199.30
No comparable office rate is available.
Tennessee
Tennessee · 22853
Office
Unavailable
Facility
$204.03
No comparable office rate is available.
Utah
Utah · 22853
Office
Unavailable
Facility
$221.50
No comparable office rate is available.
Virginia
Virginia · 22853
Office
Unavailable
Facility
$214.95
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22853
Office
Unavailable
Facility
$228.64
No comparable office rate is available.
Vermont
Vermont · 22853
Office
Unavailable
Facility
$206.39
No comparable office rate is available.
Rest Of Washington
Washington · 22853
Office
Unavailable
Facility
$222.42
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22853
Office
Unavailable
Facility
$238.04
No comparable office rate is available.
Wisconsin
Wisconsin · 22853
Office
Unavailable
Facility
$196.12
No comparable office rate is available.
West Virginia
West Virginia · 22853
Office
Unavailable
Facility
$241.90
No comparable office rate is available.
Wyoming**
Wyoming · 22853
Office
Unavailable
Facility
$217.25
No comparable office rate is available.
See how rates vary across the country
22853 · 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 / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
- 22853 in Austin
Multiple payment areas
- 22853 in Barton Creek
- 22853 in Bee Cave
- 22853 in Briarcliff
- 22853 in Cedar Park
Multiple payment areas
- 22853 in Creedmoor
Multiple payment areas
- 22853 in Elgin
Multiple payment areas
- 22853 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 22853 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$249.35
$226.68 × 110% = $249.35
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.
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 22853 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,124
- Code
- 22853
- Physician work
- 4.14
- Practice expense
- 1.38
- Malpractice
- 1.33
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.002 | 4.1483 |
| Practice expense | 1.38 | × 1.058 | 1.4600 |
| Malpractice | 1.33 | × 0.886 | 1.1784 |
| Total RVUs | 6.7867 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$226.68
Open 22853 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.14 | 1.002 |
| Practice expense | 1.38 | 1.058 |
| Malpractice | 1.33 | 0.886 |
(4.14 × 1.002 + 1.38 × 1.058 + 1.33 × 0.886) × $33.4009 = $226.68
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
22853 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $226.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $226.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $226.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $226.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $249.83 | RVU25D |
| 2025-07-01 | Not available in this setting | $249.83 | RVU25C |
| 2025-04-01 | Not available in this setting | $249.83 | RVU25B |
| 2025-01-01 | Not available in this setting | $249.83 | RVU25A |
22853 billing questions
How is 22853 distinguished from 22854?
22853 is for a biomechanical device placed in an intervertebral disc space during interbody arthrodesis. 22854 addresses device placement in a vertebral body defect, such as one created by corpectomy.
Can 22853 be reported without a fusion procedure?
No. It is an add-on code and must be billed with a primary procedure; the device placement is performed in conjunction with interbody arthrodesis.
How many units are reported when multiple cages are placed?
Count the treated interspaces. Report one unit per interspace, rather than one unit for each individual implant placed in the same space.
Does 22853 include the fusion itself?
No. It represents the biomechanical device placement. Report the applicable primary interbody fusion procedure separately.
What documentation supports 22853?
The operative report should identify each interspace treated, the device placed there, and the interbody arthrodesis performed at that level.
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.
2,12122849,,Reinsert spinal fixation,A,,18.69,12.26,NA,12.26,,5.78,36.73,36.73,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12222850,,Remove spine fixation device,A,,9.57,8.88,NA,8.88,,3.01,21.46,21.46,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12322852,,Remove spine fixation device,A,,9.14,8.73,NA,8.73,,2.85,20.72,20.72,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12422853,,Insj biomechanical device,A,,4.14,1.38,NA,1.38,,1.33,6.85,6.85,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12522854,,Insj biomechanical device,A,,5.36,1.80,NA,1.80,,1.84,9.00,9.00,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12622855,,Removal anterior instrmj,A,,15.46,11.10,NA,11.10,,4.90,31.46,31.46,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12722856,,Tot disc arthrp 1ntrspc crv,A,,23.45,14.72,NA,14.72,,7.40,45.57,45.57,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858