No office rate
Use 22100 for an intrinsic cervical vertebral lesion excised without spinal cord or nerve-root decompression. 22110 applies when the operation includes that decompression.
On this page
CMS RVU26D · Effective 2026-10-01
22110 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$971.17
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 22110: Cervical vertebral lesion excision with decompression
Reports removal of an intrinsic cervical vertebral bone lesion when the operation also decompresses the spinal cord or a nerve root.
22110 describes excision of an intrinsic bony lesion from a cervical vertebral body together with decompression of the spinal cord or a nerve root. The procedure is typically performed by a spine surgeon or neurosurgeon in an operating room when the lesion and required neural decompression are addressed during the operation. The code distinguishes this service from cervical lesion excision without cord or nerve-root decompression.
Select the code from the operative report: it should identify the cervical vertebral site, the intrinsic bony lesion removed, and the spinal cord or nerve-root decompression performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22110
- 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 RVU13.65 · 45%
- Practice expense (office) RVU12.46 · 41%
- Malpractice RVU4.40 · 14%
299
Medicare services in 2024 · #3995 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.
22110 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
22112 is for the thoracic region with decompression; 22110 is for the cervical region.
No office rate
22114 is for the lumbar region with decompression; 22110 is for the cervical region.
No office rate
22116 represents an additional vertebral segment in this decompression family, rather than the primary cervical segment service reported with 22110.
The same code, a different location
How does Beaumont compare?
22110 across payment areas
Same release and payment basis · bars start at $0
Beaumont · 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 · 22110
Office
Unavailable
Facility
$983.58
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 22110
Office
Unavailable
Facility
$1064.53
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22110
Office
Unavailable
Facility
$1134.37
No comparable office rate is available.
Miami
Florida · 22110
Office
Unavailable
Facility
$1260.83
No comparable office rate is available.
Chicago
Illinois · 22110
Office
Unavailable
Facility
$1214.65
No comparable office rate is available.
Manhattan
New York · 22110
Office
Unavailable
Facility
$1201.78
No comparable office rate is available.
Alaska*
Alaska · 22110
Office
Unavailable
Facility
$1208.09
No comparable office rate is available.
Alabama
Alabama · 22110
Office
Unavailable
Facility
$903.26
No comparable office rate is available.
Arkansas
Arkansas · 22110
Office
Unavailable
Facility
$889.10
No comparable office rate is available.
Arizona
Arizona · 22110
Office
Unavailable
Facility
$985.00
No comparable office rate is available.
Bakersfield
California · 22110
Office
Unavailable
Facility
$1010.21
No comparable office rate is available.
Chico
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
El Centro
California · 22110
Office
Unavailable
Facility
$999.31
No comparable office rate is available.
Fresno
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Hanford-Corcoran
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Madera
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Merced
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Modesto
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Napa
California · 22110
Office
Unavailable
Facility
$1107.82
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22110
Office
Unavailable
Facility
$1052.17
No comparable office rate is available.
Redding
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Rest Of California
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22110
Office
Unavailable
Facility
$1045.62
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22110
Office
Unavailable
Facility
$1035.12
No comparable office rate is available.
Salinas
California · 22110
Office
Unavailable
Facility
$1031.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22110
Office
Unavailable
Facility
$1047.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22110
Office
Unavailable
Facility
$1153.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22110
Office
Unavailable
Facility
$1148.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22110
Office
Unavailable
Facility
$1184.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22110
Office
Unavailable
Facility
$1164.54
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22110
Office
Unavailable
Facility
$1016.47
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22110
Office
Unavailable
Facility
$1049.92
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22110
Office
Unavailable
Facility
$1032.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22110
Office
Unavailable
Facility
$1059.44
No comparable office rate is available.
Stockton
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Vallejo
California · 22110
Office
Unavailable
Facility
$1100.62
No comparable office rate is available.
Visalia
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Yuba City
California · 22110
Office
Unavailable
Facility
$998.57
No comparable office rate is available.
Colorado
Colorado · 22110
Office
Unavailable
Facility
$1018.98
No comparable office rate is available.
Connecticut
Connecticut · 22110
Office
Unavailable
Facility
$1091.09
No comparable office rate is available.
Delaware
Delaware · 22110
Office
Unavailable
Facility
$1001.50
No comparable office rate is available.
Fort Lauderdale
Florida · 22110
Office
Unavailable
Facility
$1143.22
No comparable office rate is available.
Rest Of Florida
Florida · 22110
Office
Unavailable
Facility
$1074.67
No comparable office rate is available.
Atlanta
Georgia · 22110
Office
Unavailable
Facility
$1056.63
No comparable office rate is available.
Rest Of Georgia
Georgia · 22110
Office
Unavailable
Facility
$1002.33
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22110
Office
Unavailable
Facility
$1014.21
No comparable office rate is available.
Iowa
Iowa · 22110
Office
Unavailable
Facility
$895.07
No comparable office rate is available.
Idaho
Idaho · 22110
Office
Unavailable
Facility
$908.32
No comparable office rate is available.
East St. Louis
Illinois · 22110
Office
Unavailable
Facility
$1134.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 22110
Office
Unavailable
Facility
$1065.59
No comparable office rate is available.
Suburban Chicago
Illinois · 22110
Office
Unavailable
Facility
$1146.95
No comparable office rate is available.
Indiana
Indiana · 22110
Office
Unavailable
Facility
$913.14
No comparable office rate is available.
Kansas
Kansas · 22110
Office
Unavailable
Facility
$906.21
No comparable office rate is available.
Kentucky
Kentucky · 22110
Office
Unavailable
Facility
$960.37
No comparable office rate is available.
New Orleans
Louisiana · 22110
Office
Unavailable
Facility
$1014.49
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22110
Office
Unavailable
Facility
$965.03
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22110
Office
Unavailable
Facility
$1102.33
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22110
Office
Unavailable
Facility
$1018.58
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22110
Office
Unavailable
Facility
$1091.57
No comparable office rate is available.
Rest Of Maryland
Maryland · 22110
Office
Unavailable
Facility
$1016.56
No comparable office rate is available.
Rest Of Maine
Maine · 22110
Office
Unavailable
Facility
$930.22
No comparable office rate is available.
Southern Maine
Maine · 22110
Office
Unavailable
Facility
$961.09
No comparable office rate is available.
Detroit
Michigan · 22110
Office
Unavailable
Facility
$1105.31
No comparable office rate is available.
Rest Of Michigan
Michigan · 22110
Office
Unavailable
Facility
$1001.81
No comparable office rate is available.
Minnesota
Minnesota · 22110
Office
Unavailable
Facility
$927.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22110
Office
Unavailable
Facility
$990.29
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22110
Office
Unavailable
Facility
$999.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 22110
Office
Unavailable
Facility
$957.81
No comparable office rate is available.
Mississippi
Mississippi · 22110
Office
Unavailable
Facility
$922.86
No comparable office rate is available.
Montana**
Montana · 22110
Office
Unavailable
Facility
$1018.77
No comparable office rate is available.
North Carolina
North Carolina · 22110
Office
Unavailable
Facility
$938.12
No comparable office rate is available.
North Dakota**
North Dakota · 22110
Office
Unavailable
Facility
$931.76
No comparable office rate is available.
Nebraska
Nebraska · 22110
Office
Unavailable
Facility
$895.60
No comparable office rate is available.
New Hampshire
New Hampshire · 22110
Office
Unavailable
Facility
$1017.75
No comparable office rate is available.
Northern Nj
New Jersey · 22110
Office
Unavailable
Facility
$1124.37
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22110
Office
Unavailable
Facility
$1089.84
No comparable office rate is available.
New Mexico
New Mexico · 22110
Office
Unavailable
Facility
$1014.06
No comparable office rate is available.
Nevada**
Nevada · 22110
Office
Unavailable
Facility
$994.93
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22110
Office
Unavailable
Facility
$1252.85
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22110
Office
Unavailable
Facility
$1109.98
No comparable office rate is available.
Queens
New York · 22110
Office
Unavailable
Facility
$1188.94
No comparable office rate is available.
Rest Of New York
New York · 22110
Office
Unavailable
Facility
$954.60
No comparable office rate is available.
Ohio
Ohio · 22110
Office
Unavailable
Facility
$984.03
No comparable office rate is available.
Oklahoma
Oklahoma · 22110
Office
Unavailable
Facility
$941.76
No comparable office rate is available.
Portland
Oregon · 22110
Office
Unavailable
Facility
$1034.93
No comparable office rate is available.
Rest Of Oregon
Oregon · 22110
Office
Unavailable
Facility
$973.75
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22110
Office
Unavailable
Facility
$1072.70
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22110
Office
Unavailable
Facility
$976.85
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22110
Office
Unavailable
Facility
$1021.43
No comparable office rate is available.
Rhode Island
Rhode Island · 22110
Office
Unavailable
Facility
$1025.59
No comparable office rate is available.
South Carolina
South Carolina · 22110
Office
Unavailable
Facility
$965.39
No comparable office rate is available.
South Dakota**
South Dakota · 22110
Office
Unavailable
Facility
$921.48
No comparable office rate is available.
Tennessee
Tennessee · 22110
Office
Unavailable
Facility
$913.15
No comparable office rate is available.
Utah
Utah · 22110
Office
Unavailable
Facility
$979.10
No comparable office rate is available.
Virginia
Virginia · 22110
Office
Unavailable
Facility
$968.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22110
Office
Unavailable
Facility
$1021.43
No comparable office rate is available.
Vermont
Vermont · 22110
Office
Unavailable
Facility
$942.30
No comparable office rate is available.
Rest Of Washington
Washington · 22110
Office
Unavailable
Facility
$1011.92
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22110
Office
Unavailable
Facility
$1109.43
No comparable office rate is available.
Wisconsin
Wisconsin · 22110
Office
Unavailable
Facility
$899.88
No comparable office rate is available.
West Virginia
West Virginia · 22110
Office
Unavailable
Facility
$1027.88
No comparable office rate is available.
Wyoming**
Wyoming · 22110
Office
Unavailable
Facility
$980.85
No comparable office rate is available.
See how rates vary across the country
22110 · 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?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 22110 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1068.29
$971.17 × 110% = $1068.29
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 22110 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
2,047
- Code
- 22110
- Physician work
- 13.65
- Practice expense
- 12.46
- Malpractice
- 4.40
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.65 | × 1.000 | 13.6500 |
| Practice expense | 12.46 | × 0.910 | 11.3386 |
| Malpractice | 4.40 | × 0.929 | 4.0876 |
| Total RVUs | 29.0762 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$971.17
Open 22110 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.65 | 1 |
| Practice expense | 12.46 | 0.91 |
| Malpractice | 4.4 | 0.929 |
(13.65 × 1 + 12.46 × 0.91 + 4.4 × 0.929) × $33.4009 = $971.17
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
22110 · 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 | $971.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $971.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $971.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $971.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $995.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $995.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $995.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $995.98 | RVU25A |
22110 billing questions
How is 22110 different from 22100?
Both concern an intrinsic bony lesion in the cervical vertebral body. Use 22110 when the operation includes spinal cord or nerve-root decompression; 22100 is for excision without that decompression.
What documentation supports reporting 22110?
The operative report should describe the cervical vertebral lesion and its excision, and identify the spinal cord or nerve-root decompression performed.
Can 22116 be reported with 22110?
22116 is the additional-segment code in the decompression family and may be reported for an additional vertebral segment when its requirements are met. The operative documentation should establish the additional segment treated.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code based on its descriptor or anatomy.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
Which postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,04422101,,Remove part thorax vertebra,A,,10.80,11.75,NA,11.75,,3.43,25.98,25.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04522102,,Remove part lumbar vertebra,A,,10.80,8.47,NA,8.47,,1.75,21.02,21.02,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04622103,,Remove extra spine segment,A,,2.28,0.69,NA,0.69,,0.50,3.47,3.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04722110,,Remove part of neck vertebra,A,,13.65,12.46,NA,12.46,,4.40,30.51,30.51,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04822112,,Remove part thorax vertebra,A,,13.72,15.57,NA,15.57,,5.77,35.06,35.06,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04922114,,Remove part lumbar vertebra,A,,13.72,15.57,NA,15.57,,5.77,35.06,35.06,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05022116,,Remove extra spine segment,A,,2.26,0.75,NA,0.75,,0.76,3.77,3.77,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10004412,TX,28,FORT WORTH,1.009,0.986,0.871