Both describe posterior deformity arthrodesis; 22800 is for fewer than 6 vertebral segments, rather than this code's 7-to-12-segment span.
On this page
CMS RVU26D · Effective 2026-10-01
22802 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1904.63
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.
Spinal surgery
About 22802: Posterior deformity spinal fusion, 7-12 segments
Posterior fusion for spinal deformity across 7 to 12 vertebral segments is reported for operative correction of conditions such as scoliosis or kyphosis.
This code describes posterior spinal arthrodesis for a deformity when the fusion spans 7 to 12 vertebral segments. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, use it in operative correction of conditions such as scoliosis or kyphosis. The service is typically performed in a hospital or other surgical facility and may be part of a larger deformity-correction procedure.
Select the code based on the posterior approach, the deformity indication, and the documented extent of the fusion; the operative report should identify the levels treated and the fusion performed. Instrumentation and bone graft services may be separately coded when supported by the operative work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this spinal service. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22802
- 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 RVU31.31 · 54%
- Practice expense (office) RVU17.86 · 31%
- Malpractice RVU8.80 · 15%
864
Medicare services in 2024 · #3073 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.
22802 compared with similar codes
Office rates for Delaware, from the same CMS release.
Both describe posterior deformity arthrodesis; 22804 is for 13 or more vertebral segments.
22808 describes anterior deformity arthrodesis over 2 to 3 segments. Use 22802 for the posterior deformity fusion spanning 7 to 12 segments.
22843 reports posterior segmental instrumentation across 7 to 12 segments, not the arthrodesis itself; it may accompany 22802 when supported.
The same code, a different location
How does Delaware compare?
22802 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 22802
Office
Unavailable
Facility
$1734.12
No comparable office rate is available.
Arkansas
Arkansas · 22802
Office
Unavailable
Facility
$1709.58
No comparable office rate is available.
Arizona
Arizona · 22802
Office
Unavailable
Facility
$1875.43
No comparable office rate is available.
Bakersfield
California · 22802
Office
Unavailable
Facility
$1898.46
No comparable office rate is available.
Chico
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
El Centro
California · 22802
Office
Unavailable
Facility
$1876.38
No comparable office rate is available.
Fresno
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Hanford-Corcoran
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Madera
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Merced
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Modesto
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Napa
California · 22802
Office
Unavailable
Facility
$2047.22
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22802
Office
Unavailable
Facility
$1963.29
No comparable office rate is available.
Redding
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Rest Of California
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22802
Office
Unavailable
Facility
$1969.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22802
Office
Unavailable
Facility
$1934.75
No comparable office rate is available.
Salinas
California · 22802
Office
Unavailable
Facility
$1927.14
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22802
Office
Unavailable
Facility
$1949.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22802
Office
Unavailable
Facility
$2121.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22802
Office
Unavailable
Facility
$2111.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22802
Office
Unavailable
Facility
$2178.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22802
Office
Unavailable
Facility
$2137.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22802
Office
Unavailable
Facility
$1900.56
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22802
Office
Unavailable
Facility
$1950.09
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22802
Office
Unavailable
Facility
$1928.18
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22802
Office
Unavailable
Facility
$1967.25
No comparable office rate is available.
Stockton
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Vallejo
California · 22802
Office
Unavailable
Facility
$2032.82
No comparable office rate is available.
Visalia
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Yuba City
California · 22802
Office
Unavailable
Facility
$1874.91
No comparable office rate is available.
Colorado
Colorado · 22802
Office
Unavailable
Facility
$1922.61
No comparable office rate is available.
Connecticut
Connecticut · 22802
Office
Unavailable
Facility
$2064.82
No comparable office rate is available.
Fort Lauderdale
Florida · 22802
Office
Unavailable
Facility
$2181.50
No comparable office rate is available.
Rest Of Florida
Florida · 22802
Office
Unavailable
Facility
$2057.85
No comparable office rate is available.
Atlanta
Georgia · 22802
Office
Unavailable
Facility
$2008.01
No comparable office rate is available.
Rest Of Georgia
Georgia · 22802
Office
Unavailable
Facility
$1928.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22802
Office
Unavailable
Facility
$1894.23
No comparable office rate is available.
Iowa
Iowa · 22802
Office
Unavailable
Facility
$1708.31
No comparable office rate is available.
Idaho
Idaho · 22802
Office
Unavailable
Facility
$1733.63
No comparable office rate is available.
East St. Louis
Illinois · 22802
Office
Unavailable
Facility
$2186.57
No comparable office rate is available.
Rest Of Illinois
Illinois · 22802
Office
Unavailable
Facility
$2049.83
No comparable office rate is available.
Suburban Chicago
Illinois · 22802
Office
Unavailable
Facility
$2186.59
No comparable office rate is available.
Indiana
Indiana · 22802
Office
Unavailable
Facility
$1741.62
No comparable office rate is available.
Kansas
Kansas · 22802
Office
Unavailable
Facility
$1733.19
No comparable office rate is available.
Kentucky
Kentucky · 22802
Office
Unavailable
Facility
$1845.05
No comparable office rate is available.
New Orleans
Louisiana · 22802
Office
Unavailable
Facility
$1941.03
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22802
Office
Unavailable
Facility
$1855.30
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22802
Office
Unavailable
Facility
$2062.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22802
Office
Unavailable
Facility
$1924.93
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22802
Office
Unavailable
Facility
$2066.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 22802
Office
Unavailable
Facility
$1929.76
No comparable office rate is available.
Rest Of Maine
Maine · 22802
Office
Unavailable
Facility
$1777.42
No comparable office rate is available.
Southern Maine
Maine · 22802
Office
Unavailable
Facility
$1822.42
No comparable office rate is available.
Detroit
Michigan · 22802
Office
Unavailable
Facility
$2117.01
No comparable office rate is available.
Rest Of Michigan
Michigan · 22802
Office
Unavailable
Facility
$1922.27
No comparable office rate is available.
Minnesota
Minnesota · 22802
Office
Unavailable
Facility
$1746.62
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22802
Office
Unavailable
Facility
$1893.10
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22802
Office
Unavailable
Facility
$1908.20
No comparable office rate is available.
Rest Of Missouri
Missouri · 22802
Office
Unavailable
Facility
$1846.29
No comparable office rate is available.
Mississippi
Mississippi · 22802
Office
Unavailable
Facility
$1776.62
No comparable office rate is available.
Montana**
Montana · 22802
Office
Unavailable
Facility
$1935.66
No comparable office rate is available.
North Carolina
North Carolina · 22802
Office
Unavailable
Facility
$1790.17
No comparable office rate is available.
North Dakota**
North Dakota · 22802
Office
Unavailable
Facility
$1761.66
No comparable office rate is available.
Nebraska
Nebraska · 22802
Office
Unavailable
Facility
$1707.49
No comparable office rate is available.
New Hampshire
New Hampshire · 22802
Office
Unavailable
Facility
$1923.97
No comparable office rate is available.
Northern Nj
New Jersey · 22802
Office
Unavailable
Facility
$2117.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22802
Office
Unavailable
Facility
$2061.47
No comparable office rate is available.
New Mexico
New Mexico · 22802
Office
Unavailable
Facility
$1945.82
No comparable office rate is available.
Nevada**
Nevada · 22802
Office
Unavailable
Facility
$1887.76
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22802
Office
Unavailable
Facility
$2367.82
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22802
Office
Unavailable
Facility
$2101.71
No comparable office rate is available.
Queens
New York · 22802
Office
Unavailable
Facility
$2241.67
No comparable office rate is available.
Rest Of New York
New York · 22802
Office
Unavailable
Facility
$1819.13
No comparable office rate is available.
Ohio
Ohio · 22802
Office
Unavailable
Facility
$1886.70
No comparable office rate is available.
Oklahoma
Oklahoma · 22802
Office
Unavailable
Facility
$1806.87
No comparable office rate is available.
Portland
Oregon · 22802
Office
Unavailable
Facility
$1943.95
No comparable office rate is available.
Rest Of Oregon
Oregon · 22802
Office
Unavailable
Facility
$1846.57
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22802
Office
Unavailable
Facility
$2036.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22802
Office
Unavailable
Facility
$1871.17
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22802
Office
Unavailable
Facility
$1938.40
No comparable office rate is available.
Rhode Island
Rhode Island · 22802
Office
Unavailable
Facility
$1944.06
No comparable office rate is available.
South Carolina
South Carolina · 22802
Office
Unavailable
Facility
$1846.82
No comparable office rate is available.
South Dakota**
South Dakota · 22802
Office
Unavailable
Facility
$1741.08
No comparable office rate is available.
Tennessee
Tennessee · 22802
Office
Unavailable
Facility
$1745.88
No comparable office rate is available.
Austin
Texas · 22802
Office
Unavailable
Facility
$1939.43
No comparable office rate is available.
Beaumont
Texas · 22802
Office
Unavailable
Facility
$1861.69
No comparable office rate is available.
Brazoria
Texas · 22802
Office
Unavailable
Facility
$1874.58
No comparable office rate is available.
Dallas
Texas · 22802
Office
Unavailable
Facility
$1901.54
No comparable office rate is available.
Fort Worth
Texas · 22802
Office
Unavailable
Facility
$1899.39
No comparable office rate is available.
Galveston
Texas · 22802
Office
Unavailable
Facility
$1889.89
No comparable office rate is available.
Houston
Texas · 22802
Office
Unavailable
Facility
$2050.96
No comparable office rate is available.
Rest Of Texas
Texas · 22802
Office
Unavailable
Facility
$1877.32
No comparable office rate is available.
Utah
Utah · 22802
Office
Unavailable
Facility
$1870.48
No comparable office rate is available.
Virginia
Virginia · 22802
Office
Unavailable
Facility
$1839.69
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22802
Office
Unavailable
Facility
$1938.40
No comparable office rate is available.
Vermont
Vermont · 22802
Office
Unavailable
Facility
$1785.08
No comparable office rate is available.
Rest Of Washington
Washington · 22802
Office
Unavailable
Facility
$1911.21
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22802
Office
Unavailable
Facility
$2070.17
No comparable office rate is available.
Wisconsin
Wisconsin · 22802
Office
Unavailable
Facility
$1707.80
No comparable office rate is available.
West Virginia
West Virginia · 22802
Office
Unavailable
Facility
$1984.79
No comparable office rate is available.
Wyoming**
Wyoming · 22802
Office
Unavailable
Facility
$1859.83
No comparable office rate is available.
See how rates vary across the country
22802 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 22802 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2095.09
$1904.63 × 110% = $2095.09
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 22802 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,101
- Code
- 22802
- Physician work
- 31.31
- Practice expense
- 17.86
- Malpractice
- 8.80
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.31 | × 1.005 | 31.4665 |
| Practice expense | 17.86 | × 0.988 | 17.6457 |
| Malpractice | 8.80 | × 0.899 | 7.9112 |
| Total RVUs | 57.0234 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1904.63
Open 22802 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.31 | 1.005 |
| Practice expense | 17.86 | 0.988 |
| Malpractice | 8.8 | 0.899 |
(31.31 × 1.005 + 17.86 × 0.988 + 8.8 × 0.899) × $33.4009 = $1904.63
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
22802 · 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 | $1904.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $1904.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $1904.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $1904.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $2055.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $2055.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $2055.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $2055.68 | RVU25A |
22802 billing questions
How is this code distinguished from 22800 or 22804?
Choose 22802 for posterior deformity arthrodesis spanning 7 to 12 vertebral segments. Code 22800 covers fewer than 6, while 22804 covers 13 or more.
Can spinal instrumentation be reported with this fusion?
Instrumentation may be reported separately when performed and documented. For posterior segmental instrumentation spanning 7 to 12 vertebral segments, consider 22843.
What operative documentation supports 22802?
Document the deformity being treated, the posterior approach, the fusion performed, and the vertebral levels establishing the 7-to-12-segment extent.
Does the code have a global period?
Yes. CMS assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS allows assistant-at-surgery payment. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended for bilateral spinal treatment?
No. Modifier 50 is inappropriate for this code; report the service based on the documented posterior fusion construct.
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.
