No office rate
Both describe posterior operative treatment of vertebral fracture or dislocation; 22325 is for lumbar levels, while 22326 is for cervical levels.
On this page
CMS RVU26D · Effective 2026-10-01
22326 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1422.53
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 22326: Posterior cervical fracture treatment
Open posterior operative treatment of a cervical vertebral fracture or dislocation, reported when the surgeon reduces or treats the injured cervical segment or segments.
Code 22326 represents operative treatment or reduction of a cervical vertebral fracture or dislocation through a posterior approach. An orthopedic spine surgeon or neurosurgeon typically performs it in a hospital operating room for an injury requiring open surgical management. It is distinct from closed treatment using manipulation and external immobilization alone.
Report the operation with documentation identifying the cervical injury level or levels, posterior approach, and treatment or reduction performed. Use 22328 for each additional vertebral segment treated. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 22326
- 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 RVU20.32 · 46%
- Practice expense (office) RVU16.37 · 37%
- Malpractice RVU7.43 · 17%
2.3K
Medicare services in 2024 · #2370 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.
22326 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
22327 applies to thoracic levels. Use 22326 for cervical injuries treated through a posterior approach.
No office rate
22328 is an add-on for each additional vertebral segment treated; it is reported with the applicable primary-level code rather than instead of 22326.
No office rate
22318 is for open treatment of an odontoid fracture without graft. Code 22326 describes posterior operative treatment of cervical vertebral fracture or dislocation more broadly.
The same code, a different location
How does Chico compare?
22326 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Modesto
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Napa
California · 22326
Office
Unavailable
Facility
$1568.18
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22326
Office
Unavailable
Facility
$1498.60
No comparable office rate is available.
Redding
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Rest Of California
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22326
Office
Unavailable
Facility
$1501.87
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22326
Office
Unavailable
Facility
$1472.05
No comparable office rate is available.
Salinas
California · 22326
Office
Unavailable
Facility
$1466.47
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22326
Office
Unavailable
Facility
$1487.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22326
Office
Unavailable
Facility
$1628.04
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22326
Office
Unavailable
Facility
$1619.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22326
Office
Unavailable
Facility
$1674.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22326
Office
Unavailable
Facility
$1640.33
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22326
Office
Unavailable
Facility
$1446.04
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22326
Office
Unavailable
Facility
$1490.31
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22326
Office
Unavailable
Facility
$1468.27
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22326
Office
Unavailable
Facility
$1503.52
No comparable office rate is available.
Stockton
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Vallejo
California · 22326
Office
Unavailable
Facility
$1556.02
No comparable office rate is available.
Visalia
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Yuba City
California · 22326
Office
Unavailable
Facility
$1422.53
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22326
Office
Unavailable
Facility
$1635.67
No comparable office rate is available.
Miami
Florida · 22326
Office
Unavailable
Facility
$1875.52
No comparable office rate is available.
Chicago
Illinois · 22326
Office
Unavailable
Facility
$1802.51
No comparable office rate is available.
Manhattan
New York · 22326
Office
Unavailable
Facility
$1751.09
No comparable office rate is available.
Alaska*
Alaska · 22326
Office
Unavailable
Facility
$1737.11
No comparable office rate is available.
Alabama
Alabama · 22326
Office
Unavailable
Facility
$1297.60
No comparable office rate is available.
Arkansas
Arkansas · 22326
Office
Unavailable
Facility
$1276.19
No comparable office rate is available.
Arizona
Arizona · 22326
Office
Unavailable
Facility
$1420.96
No comparable office rate is available.
Colorado
Colorado · 22326
Office
Unavailable
Facility
$1462.44
No comparable office rate is available.
Connecticut
Connecticut · 22326
Office
Unavailable
Facility
$1581.44
No comparable office rate is available.
Delaware
Delaware · 22326
Office
Unavailable
Facility
$1445.41
No comparable office rate is available.
Fort Lauderdale
Florida · 22326
Office
Unavailable
Facility
$1681.28
No comparable office rate is available.
Rest Of Florida
Florida · 22326
Office
Unavailable
Facility
$1574.42
No comparable office rate is available.
Atlanta
Georgia · 22326
Office
Unavailable
Facility
$1534.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 22326
Office
Unavailable
Facility
$1462.24
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22326
Office
Unavailable
Facility
$1444.08
No comparable office rate is available.
Iowa
Iowa · 22326
Office
Unavailable
Facility
$1277.53
No comparable office rate is available.
Idaho
Idaho · 22326
Office
Unavailable
Facility
$1299.12
No comparable office rate is available.
East St. Louis
Illinois · 22326
Office
Unavailable
Facility
$1681.55
No comparable office rate is available.
Rest Of Illinois
Illinois · 22326
Office
Unavailable
Facility
$1565.80
No comparable office rate is available.
Suburban Chicago
Illinois · 22326
Office
Unavailable
Facility
$1684.75
No comparable office rate is available.
Indiana
Indiana · 22326
Office
Unavailable
Facility
$1306.17
No comparable office rate is available.
Kansas
Kansas · 22326
Office
Unavailable
Facility
$1298.07
No comparable office rate is available.
Kentucky
Kentucky · 22326
Office
Unavailable
Facility
$1391.86
No comparable office rate is available.
New Orleans
Louisiana · 22326
Office
Unavailable
Facility
$1475.14
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22326
Office
Unavailable
Facility
$1400.35
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22326
Office
Unavailable
Facility
$1580.25
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22326
Office
Unavailable
Facility
$1463.11
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22326
Office
Unavailable
Facility
$1583.24
No comparable office rate is available.
Rest Of Maryland
Maryland · 22326
Office
Unavailable
Facility
$1466.65
No comparable office rate is available.
Rest Of Maine
Maine · 22326
Office
Unavailable
Facility
$1336.10
No comparable office rate is available.
Southern Maine
Maine · 22326
Office
Unavailable
Facility
$1377.15
No comparable office rate is available.
Detroit
Michigan · 22326
Office
Unavailable
Facility
$1624.75
No comparable office rate is available.
Rest Of Michigan
Michigan · 22326
Office
Unavailable
Facility
$1458.09
No comparable office rate is available.
Minnesota
Minnesota · 22326
Office
Unavailable
Facility
$1314.79
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22326
Office
Unavailable
Facility
$1434.59
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22326
Office
Unavailable
Facility
$1447.90
No comparable office rate is available.
Rest Of Missouri
Missouri · 22326
Office
Unavailable
Facility
$1391.74
No comparable office rate is available.
Mississippi
Mississippi · 22326
Office
Unavailable
Facility
$1332.87
No comparable office rate is available.
Montana**
Montana · 22326
Office
Unavailable
Facility
$1473.15
No comparable office rate is available.
North Carolina
North Carolina · 22326
Office
Unavailable
Facility
$1347.43
No comparable office rate is available.
North Dakota**
North Dakota · 22326
Office
Unavailable
Facility
$1326.24
No comparable office rate is available.
Nebraska
Nebraska · 22326
Office
Unavailable
Facility
$1277.19
No comparable office rate is available.
New Hampshire
New Hampshire · 22326
Office
Unavailable
Facility
$1465.04
No comparable office rate is available.
Northern Nj
New Jersey · 22326
Office
Unavailable
Facility
$1620.77
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22326
Office
Unavailable
Facility
$1575.17
No comparable office rate is available.
New Mexico
New Mexico · 22326
Office
Unavailable
Facility
$1478.15
No comparable office rate is available.
Nevada**
Nevada · 22326
Office
Unavailable
Facility
$1432.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22326
Office
Unavailable
Facility
$1833.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22326
Office
Unavailable
Facility
$1608.25
No comparable office rate is available.
Queens
New York · 22326
Office
Unavailable
Facility
$1726.29
No comparable office rate is available.
Rest Of New York
New York · 22326
Office
Unavailable
Facility
$1372.60
No comparable office rate is available.
Ohio
Ohio · 22326
Office
Unavailable
Facility
$1428.06
No comparable office rate is available.
Oklahoma
Oklahoma · 22326
Office
Unavailable
Facility
$1359.80
No comparable office rate is available.
Portland
Oregon · 22326
Office
Unavailable
Facility
$1481.67
No comparable office rate is available.
Rest Of Oregon
Oregon · 22326
Office
Unavailable
Facility
$1397.75
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22326
Office
Unavailable
Facility
$1556.18
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22326
Office
Unavailable
Facility
$1415.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22326
Office
Unavailable
Facility
$1475.94
No comparable office rate is available.
Rhode Island
Rhode Island · 22326
Office
Unavailable
Facility
$1477.78
No comparable office rate is available.
South Carolina
South Carolina · 22326
Office
Unavailable
Facility
$1394.87
No comparable office rate is available.
South Dakota**
South Dakota · 22326
Office
Unavailable
Facility
$1308.86
No comparable office rate is available.
Tennessee
Tennessee · 22326
Office
Unavailable
Facility
$1308.99
No comparable office rate is available.
Austin
Texas · 22326
Office
Unavailable
Facility
$1478.43
No comparable office rate is available.
Beaumont
Texas · 22326
Office
Unavailable
Facility
$1406.82
No comparable office rate is available.
Brazoria
Texas · 22326
Office
Unavailable
Facility
$1419.56
No comparable office rate is available.
Dallas
Texas · 22326
Office
Unavailable
Facility
$1442.33
No comparable office rate is available.
Fort Worth
Texas · 22326
Office
Unavailable
Facility
$1440.09
No comparable office rate is available.
Galveston
Texas · 22326
Office
Unavailable
Facility
$1432.56
No comparable office rate is available.
Houston
Texas · 22326
Office
Unavailable
Facility
$1568.56
No comparable office rate is available.
Rest Of Texas
Texas · 22326
Office
Unavailable
Facility
$1421.69
No comparable office rate is available.
Utah
Utah · 22326
Office
Unavailable
Facility
$1415.53
No comparable office rate is available.
Virginia
Virginia · 22326
Office
Unavailable
Facility
$1391.39
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22326
Office
Unavailable
Facility
$1475.94
No comparable office rate is available.
Vermont
Vermont · 22326
Office
Unavailable
Facility
$1345.58
No comparable office rate is available.
Rest Of Washington
Washington · 22326
Office
Unavailable
Facility
$1452.14
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22326
Office
Unavailable
Facility
$1586.29
No comparable office rate is available.
Wisconsin
Wisconsin · 22326
Office
Unavailable
Facility
$1278.95
No comparable office rate is available.
West Virginia
West Virginia · 22326
Office
Unavailable
Facility
$1508.98
No comparable office rate is available.
Wyoming**
Wyoming · 22326
Office
Unavailable
Facility
$1409.12
No comparable office rate is available.
See how rates vary across the country
22326 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 22326 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1564.78
$1422.53 × 110% = $1564.78
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 22326 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,067
- Code
- 22326
- Physician work
- 20.32
- Practice expense
- 16.37
- Malpractice
- 7.43
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.32 | × 1.017 | 20.6654 |
| Practice expense | 16.37 | × 1.096 | 17.9415 |
| Malpractice | 7.43 | × 0.536 | 3.9825 |
| Total RVUs | 42.5894 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1422.53
Open 22326 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.32 | 1.017 |
| Practice expense | 16.37 | 1.096 |
| Malpractice | 7.43 | 0.536 |
(20.32 × 1.017 + 16.37 × 1.096 + 7.43 × 0.536) × $33.4009 = $1422.53
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
22326 · 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 | $1422.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $1422.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $1422.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $1422.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $1454.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $1454.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $1454.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $1454.48 | RVU25A |
22326 billing questions
How is 22326 different from 22325 or 22327?
22326 applies to posterior operative treatment of cervical vertebral injuries. Use 22325 for lumbar injuries and 22327 for thoracic injuries.
When should 22328 be reported with 22326?
Report 22328 for each additional vertebral segment treated beyond the segment represented by the primary procedure. Document the levels treated.
Is 22326 appropriate for closed treatment?
No. It represents open posterior operative treatment. Codes 22310 and 22315 describe closed vertebral fracture treatment, with the distinction based on whether manipulation is performed.
Does the 90-day global include postoperative visits?
Yes. Related postoperative care during the 90 days after surgery is included, along with the day-before preoperative visit.
Can modifier 50 be used for bilateral cervical treatment?
No. The anatomy and service descriptor make modifier 50 inappropriate for 22326.
What documentation supports 22326?
The operative report should identify the cervical fracture or dislocation, the treated level or levels, the posterior approach, and the operative treatment or reduction performed.
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.
2,06422318,,Treat odontoid fx w/o graft,A,,22.15,17.52,NA,17.52,,8.97,48.64,48.64,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06522319,,Treat odontoid fx w/graft,A,,24.70,19.05,NA,19.05,,10.43,54.18,54.18,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06622325,,Treat spine fracture,A,,19.37,17.07,NA,17.07,,6.80,43.24,43.24,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06722326,,Treat neck spine fracture,A,,20.32,16.37,NA,16.37,,7.43,44.12,44.12,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06822327,,Treat thorax spine fracture,A,,20.25,17.55,NA,17.55,,7.21,45.01,45.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06922328,,Treat each add spine fx,A,,4.49,1.51,NA,1.51,,1.56,7.56,7.56,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07022505,,Manipulation of spine,A,,1.82,2.00,NA,2.00,,0.78,4.60,4.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536