No office rate
22869 reports the initial lumbar segment treated without decompression; 22870 reports each additional segment in that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
22870 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$100.65
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 22870: Additional lumbar stabilization device level
Reports placement of a lumbar interspinous stabilization device at each additional segment when the initial segment is treated without decompression.
This add-on represents placement of an interspinous stabilization or distraction device at an additional lumbar segment. A spine surgeon, commonly an orthopedic spine surgeon or neurosurgeon, places the implant between adjacent spinous processes to provide stabilization or distraction. The procedure is performed without decompression at the treated level; the initial lumbar level is represented by the corresponding primary procedure. These implants are typically placed in an operating room for selected degenerative lumbar conditions.
Report one unit for each additional lumbar segment beyond the initial level, with the operative report identifying the treated levels and documenting device placement without decompression. Pair the code with the primary procedure for the initial level, typically 22869. CMS classifies 22870 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 22870
- 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 RVU2.28 · 75%
- Practice expense (office) RVU0.53 · 18%
- Malpractice RVU0.21 · 7%
600
Medicare services in 2024 · #3395 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.
22870 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Use 22868 for each additional lumbar segment when decompression is performed. 22870 is for additional segments treated without decompression.
No office rate
22867 reports the initial lumbar segment when decompression is performed. For additional decompressed segments, the corresponding add-on is 22868, not 22870.
The same code, a different location
How does El Centro compare?
22870 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Modesto
California · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Napa
California · 22870
Office
Unavailable
Facility
$107.85
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22870
Office
Unavailable
Facility
$103.58
No comparable office rate is available.
Redding
California · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Rest Of California
California · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22870
Office
Unavailable
Facility
$102.91
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22870
Office
Unavailable
Facility
$103.24
No comparable office rate is available.
Salinas
California · 22870
Office
Unavailable
Facility
$102.79
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22870
Office
Unavailable
Facility
$103.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22870
Office
Unavailable
Facility
$111.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22870
Office
Unavailable
Facility
$111.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22870
Office
Unavailable
Facility
$113.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22870
Office
Unavailable
Facility
$112.84
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22870
Office
Unavailable
Facility
$101.37
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22870
Office
Unavailable
Facility
$103.02
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22870
Office
Unavailable
Facility
$102.69
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22870
Office
Unavailable
Facility
$103.94
No comparable office rate is available.
Stockton
California · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Vallejo
California · 22870
Office
Unavailable
Facility
$107.50
No comparable office rate is available.
Visalia
California · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Yuba City
California · 22870
Office
Unavailable
Facility
$100.61
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22870
Office
Unavailable
Facility
$108.93
No comparable office rate is available.
Miami
Florida · 22870
Office
Unavailable
Facility
$112.32
No comparable office rate is available.
Chicago
Illinois · 22870
Office
Unavailable
Facility
$110.58
No comparable office rate is available.
Manhattan
New York · 22870
Office
Unavailable
Facility
$112.72
No comparable office rate is available.
Alaska*
Alaska · 22870
Office
Unavailable
Facility
$136.95
No comparable office rate is available.
Alabama
Alabama · 22870
Office
Unavailable
Facility
$95.61
No comparable office rate is available.
Arkansas
Arkansas · 22870
Office
Unavailable
Facility
$94.97
No comparable office rate is available.
Arizona
Arizona · 22870
Office
Unavailable
Facility
$99.31
No comparable office rate is available.
Colorado
Colorado · 22870
Office
Unavailable
Facility
$101.38
No comparable office rate is available.
Connecticut
Connecticut · 22870
Office
Unavailable
Facility
$105.23
No comparable office rate is available.
Delaware
Delaware · 22870
Office
Unavailable
Facility
$100.33
No comparable office rate is available.
Fort Lauderdale
Florida · 22870
Office
Unavailable
Facility
$106.77
No comparable office rate is available.
Rest Of Florida
Florida · 22870
Office
Unavailable
Facility
$103.62
No comparable office rate is available.
Atlanta
Georgia · 22870
Office
Unavailable
Facility
$102.79
No comparable office rate is available.
Rest Of Georgia
Georgia · 22870
Office
Unavailable
Facility
$100.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22870
Office
Unavailable
Facility
$100.34
No comparable office rate is available.
Iowa
Iowa · 22870
Office
Unavailable
Facility
$95.14
No comparable office rate is available.
Idaho
Idaho · 22870
Office
Unavailable
Facility
$95.76
No comparable office rate is available.
East St. Louis
Illinois · 22870
Office
Unavailable
Facility
$106.57
No comparable office rate is available.
Rest Of Illinois
Illinois · 22870
Office
Unavailable
Facility
$103.28
No comparable office rate is available.
Suburban Chicago
Illinois · 22870
Office
Unavailable
Facility
$107.30
No comparable office rate is available.
Indiana
Indiana · 22870
Office
Unavailable
Facility
$95.97
No comparable office rate is available.
Kansas
Kansas · 22870
Office
Unavailable
Facility
$95.69
No comparable office rate is available.
Kentucky
Kentucky · 22870
Office
Unavailable
Facility
$98.31
No comparable office rate is available.
New Orleans
Louisiana · 22870
Office
Unavailable
Facility
$100.78
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22870
Office
Unavailable
Facility
$98.54
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22870
Office
Unavailable
Facility
$106.66
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22870
Office
Unavailable
Facility
$101.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22870
Office
Unavailable
Facility
$105.04
No comparable office rate is available.
Rest Of Maryland
Maryland · 22870
Office
Unavailable
Facility
$101.27
No comparable office rate is available.
Rest Of Maine
Maine · 22870
Office
Unavailable
Facility
$96.80
No comparable office rate is available.
Southern Maine
Maine · 22870
Office
Unavailable
Facility
$98.12
No comparable office rate is available.
Detroit
Michigan · 22870
Office
Unavailable
Facility
$105.06
No comparable office rate is available.
Rest Of Michigan
Michigan · 22870
Office
Unavailable
Facility
$100.24
No comparable office rate is available.
Minnesota
Minnesota · 22870
Office
Unavailable
Facility
$96.45
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22870
Office
Unavailable
Facility
$99.63
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22870
Office
Unavailable
Facility
$100.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 22870
Office
Unavailable
Facility
$98.25
No comparable office rate is available.
Mississippi
Mississippi · 22870
Office
Unavailable
Facility
$96.58
No comparable office rate is available.
Montana**
Montana · 22870
Office
Unavailable
Facility
$100.86
No comparable office rate is available.
North Carolina
North Carolina · 22870
Office
Unavailable
Facility
$97.15
No comparable office rate is available.
North Dakota**
North Dakota · 22870
Office
Unavailable
Facility
$96.70
No comparable office rate is available.
Nebraska
Nebraska · 22870
Office
Unavailable
Facility
$95.14
No comparable office rate is available.
New Hampshire
New Hampshire · 22870
Office
Unavailable
Facility
$100.72
No comparable office rate is available.
Northern Nj
New Jersey · 22870
Office
Unavailable
Facility
$108.98
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22870
Office
Unavailable
Facility
$106.23
No comparable office rate is available.
New Mexico
New Mexico · 22870
Office
Unavailable
Facility
$100.81
No comparable office rate is available.
Nevada**
Nevada · 22870
Office
Unavailable
Facility
$99.72
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22870
Office
Unavailable
Facility
$115.10
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22870
Office
Unavailable
Facility
$107.45
No comparable office rate is available.
Queens
New York · 22870
Office
Unavailable
Facility
$112.07
No comparable office rate is available.
Rest Of New York
New York · 22870
Office
Unavailable
Facility
$97.90
No comparable office rate is available.
Ohio
Ohio · 22870
Office
Unavailable
Facility
$99.39
No comparable office rate is available.
Oklahoma
Oklahoma · 22870
Office
Unavailable
Facility
$97.41
No comparable office rate is available.
Portland
Oregon · 22870
Office
Unavailable
Facility
$102.26
No comparable office rate is available.
Rest Of Oregon
Oregon · 22870
Office
Unavailable
Facility
$98.72
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22870
Office
Unavailable
Facility
$104.32
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22870
Office
Unavailable
Facility
$99.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22870
Office
Unavailable
Facility
$100.96
No comparable office rate is available.
Rhode Island
Rhode Island · 22870
Office
Unavailable
Facility
$102.14
No comparable office rate is available.
South Carolina
South Carolina · 22870
Office
Unavailable
Facility
$98.47
No comparable office rate is available.
South Dakota**
South Dakota · 22870
Office
Unavailable
Facility
$96.21
No comparable office rate is available.
Tennessee
Tennessee · 22870
Office
Unavailable
Facility
$96.01
No comparable office rate is available.
Austin
Texas · 22870
Office
Unavailable
Facility
$101.25
No comparable office rate is available.
Beaumont
Texas · 22870
Office
Unavailable
Facility
$98.78
No comparable office rate is available.
Brazoria
Texas · 22870
Office
Unavailable
Facility
$99.78
No comparable office rate is available.
Dallas
Texas · 22870
Office
Unavailable
Facility
$100.49
No comparable office rate is available.
Fort Worth
Texas · 22870
Office
Unavailable
Facility
$100.40
No comparable office rate is available.
Galveston
Texas · 22870
Office
Unavailable
Facility
$100.15
No comparable office rate is available.
Houston
Texas · 22870
Office
Unavailable
Facility
$103.99
No comparable office rate is available.
Rest Of Texas
Texas · 22870
Office
Unavailable
Facility
$99.29
No comparable office rate is available.
Utah
Utah · 22870
Office
Unavailable
Facility
$99.09
No comparable office rate is available.
Virginia
Virginia · 22870
Office
Unavailable
Facility
$98.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22870
Office
Unavailable
Facility
$100.96
No comparable office rate is available.
Vermont
Vermont · 22870
Office
Unavailable
Facility
$97.23
No comparable office rate is available.
Rest Of Washington
Washington · 22870
Office
Unavailable
Facility
$101.12
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22870
Office
Unavailable
Facility
$107.41
No comparable office rate is available.
Wisconsin
Wisconsin · 22870
Office
Unavailable
Facility
$95.27
No comparable office rate is available.
West Virginia
West Virginia · 22870
Office
Unavailable
Facility
$101.57
No comparable office rate is available.
Wyoming**
Wyoming · 22870
Office
Unavailable
Facility
$99.05
No comparable office rate is available.
See how rates vary across the country
22870 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 22870 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$110.72
$100.65 × 110% = $110.72
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 22870 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,139
- Code
- 22870
- Physician work
- 2.28
- Practice expense
- 0.53
- Malpractice
- 0.21
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.28 | × 1.017 | 2.3188 |
| Practice expense | 0.53 | × 1.096 | 0.5809 |
| Malpractice | 0.21 | × 0.541 | 0.1136 |
| Total RVUs | 3.0132 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$100.65
Open 22870 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.28 | 1.017 |
| Practice expense | 0.53 | 1.096 |
| Malpractice | 0.21 | 0.541 |
(2.28 × 1.017 + 0.53 × 1.096 + 0.21 × 0.541) × $33.4009 = $100.65
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
22870 · 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 | $100.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $100.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $100.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $100.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $113.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $113.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $113.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $113.69 | RVU25A |
22870 billing questions
When is 22870 reported instead of 22869?
22869 represents the initial lumbar segment treated without decompression. Use 22870 for each additional lumbar segment treated in the same manner.
Can 22870 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure for the initial segment, typically 22869.
How many units should be reported?
Report one unit for each additional lumbar segment beyond the initial segment. The operative documentation should identify the levels treated.
How does 22870 differ from 22868?
22870 is for an additional segment treated without decompression. 22868 is the additional-segment code for the corresponding procedure performed with decompression.
What documentation supports 22870?
Document the additional lumbar level or levels, the placement of the interspinous stabilization device, and that decompression was not performed at those levels.
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.
2,13622867,,Insj stablj dev w/dcmprn,A,,14.63,11.34,NA,11.34,,4.33,30.30,30.30,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13722868,,Insj stablj dev w/dcmprn,A,,3.90,1.31,NA,1.31,,1.22,6.43,6.43,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13822869,,Insj stablj dev w/o dcmprn,A,,6.85,4.32,NA,4.32,,0.66,11.83,11.83,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13922870,,Insj stablj dev w/o dcmprn,A,,2.28,0.53,NA,0.53,,0.21,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14022899,,Unlisted procedure spine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14122900,,Exc abdl tum deep < 5 cm,A,,8.11,6.30,NA,6.30,,1.98,16.39,16.39,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14222901,,Exc abdl tum deep 5 cm/>,A,,9.86,6.88,NA,6.88,,2.47,19.21,19.21,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664