No office rate
22214 reports the first lumbar segment treated. 22216 reports each additional segment and is not a stand-alone substitute for the primary code.
On this page
CMS RVU26D · Effective 2026-10-01
22216 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$302.81
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 22216: Additional posterior spinal osteotomy segment
Report this add-on for each additional vertebral segment treated with a posterior or posterolateral spinal osteotomy beyond the first segment.
This add-on represents an additional vertebral segment treated during a posterior or posterolateral spinal osteotomy, including the discectomy described for this procedure family. Spine surgeons may perform these osteotomies during surgery to correct spinal deformity, such as kyphosis or scoliosis. The code applies to an additional segment beyond the first; the primary code identifies the spinal region and the initial segment treated.
Report 22216 with the corresponding primary osteotomy code for the first segment, selecting that code by cervical, thoracic, or lumbar region. Documentation should identify the approach, the vertebral segments treated, and the osteotomy performed at each additional segment. The add-on is billed only with a primary procedure and its payment falls within that procedure’s global period.
CMS billing rules for 22216
- 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 RVU5.88 · 61%
- Practice expense (office) RVU1.95 · 20%
- Malpractice RVU1.77 · 18%
18.6K
Medicare services in 2024 · #1177 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.
22216 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
22208 is the additional-segment code for a three-column spinal osteotomy. Choose the add-on that matches the osteotomy type documented.
No office rate
22224 describes a single-segment lumbar osteotomy through an anterior approach. 22216 is for additional segments in the posterior or posterolateral osteotomy series.
The same code, a different location
How does Merced compare?
22216 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
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
Madera
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Modesto
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Napa
California · 22216
Office
Unavailable
Facility
$324.65
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22216
Office
Unavailable
Facility
$315.71
No comparable office rate is available.
Redding
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Rest Of California
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22216
Office
Unavailable
Facility
$321.75
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22216
Office
Unavailable
Facility
$310.90
No comparable office rate is available.
Salinas
California · 22216
Office
Unavailable
Facility
$309.66
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22216
Office
Unavailable
Facility
$312.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22216
Office
Unavailable
Facility
$334.03
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22216
Office
Unavailable
Facility
$332.02
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22216
Office
Unavailable
Facility
$343.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22216
Office
Unavailable
Facility
$335.39
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22216
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22216
Office
Unavailable
Facility
$311.34
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22216
Office
Unavailable
Facility
$309.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22216
Office
Unavailable
Facility
$313.96
No comparable office rate is available.
Stockton
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Vallejo
California · 22216
Office
Unavailable
Facility
$321.75
No comparable office rate is available.
Visalia
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Yuba City
California · 22216
Office
Unavailable
Facility
$302.81
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22216
Office
Unavailable
Facility
$349.53
No comparable office rate is available.
Miami
Florida · 22216
Office
Unavailable
Facility
$413.71
No comparable office rate is available.
Chicago
Illinois · 22216
Office
Unavailable
Facility
$398.91
No comparable office rate is available.
Manhattan
New York · 22216
Office
Unavailable
Facility
$378.41
No comparable office rate is available.
Alaska*
Alaska · 22216
Office
Unavailable
Facility
$396.54
No comparable office rate is available.
Alabama
Alabama · 22216
Office
Unavailable
Facility
$286.85
No comparable office rate is available.
Arkansas
Arkansas · 22216
Office
Unavailable
Facility
$282.79
No comparable office rate is available.
Arizona
Arizona · 22216
Office
Unavailable
Facility
$310.12
No comparable office rate is available.
Colorado
Colorado · 22216
Office
Unavailable
Facility
$314.23
No comparable office rate is available.
Connecticut
Connecticut · 22216
Office
Unavailable
Facility
$342.01
No comparable office rate is available.
Delaware
Delaware · 22216
Office
Unavailable
Facility
$314.88
No comparable office rate is available.
Fort Lauderdale
Florida · 22216
Office
Unavailable
Facility
$369.26
No comparable office rate is available.
Rest Of Florida
Florida · 22216
Office
Unavailable
Facility
$347.52
No comparable office rate is available.
Atlanta
Georgia · 22216
Office
Unavailable
Facility
$334.16
No comparable office rate is available.
Rest Of Georgia
Georgia · 22216
Office
Unavailable
Facility
$324.97
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22216
Office
Unavailable
Facility
$304.68
No comparable office rate is available.
Iowa
Iowa · 22216
Office
Unavailable
Facility
$279.46
No comparable office rate is available.
Idaho
Idaho · 22216
Office
Unavailable
Facility
$284.28
No comparable office rate is available.
East St. Louis
Illinois · 22216
Office
Unavailable
Facility
$375.39
No comparable office rate is available.
Rest Of Illinois
Illinois · 22216
Office
Unavailable
Facility
$348.27
No comparable office rate is available.
Suburban Chicago
Illinois · 22216
Office
Unavailable
Facility
$369.42
No comparable office rate is available.
Indiana
Indiana · 22216
Office
Unavailable
Facility
$285.51
No comparable office rate is available.
Kansas
Kansas · 22216
Office
Unavailable
Facility
$285.07
No comparable office rate is available.
Kentucky
Kentucky · 22216
Office
Unavailable
Facility
$308.39
No comparable office rate is available.
New Orleans
Louisiana · 22216
Office
Unavailable
Facility
$324.85
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22216
Office
Unavailable
Facility
$310.68
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22216
Office
Unavailable
Facility
$334.83
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22216
Office
Unavailable
Facility
$315.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22216
Office
Unavailable
Facility
$342.56
No comparable office rate is available.
Rest Of Maryland
Maryland · 22216
Office
Unavailable
Facility
$318.55
No comparable office rate is available.
Rest Of Maine
Maine · 22216
Office
Unavailable
Facility
$293.09
No comparable office rate is available.
Southern Maine
Maine · 22216
Office
Unavailable
Facility
$298.25
No comparable office rate is available.
Detroit
Michigan · 22216
Office
Unavailable
Facility
$358.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 22216
Office
Unavailable
Facility
$322.61
No comparable office rate is available.
Minnesota
Minnesota · 22216
Office
Unavailable
Facility
$280.92
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22216
Office
Unavailable
Facility
$315.32
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22216
Office
Unavailable
Facility
$317.64
No comparable office rate is available.
Rest Of Missouri
Missouri · 22216
Office
Unavailable
Facility
$310.12
No comparable office rate is available.
Mississippi
Mississippi · 22216
Office
Unavailable
Facility
$296.17
No comparable office rate is available.
Montana**
Montana · 22216
Office
Unavailable
Facility
$320.53
No comparable office rate is available.
North Carolina
North Carolina · 22216
Office
Unavailable
Facility
$294.94
No comparable office rate is available.
North Dakota**
North Dakota · 22216
Office
Unavailable
Facility
$285.53
No comparable office rate is available.
Nebraska
Nebraska · 22216
Office
Unavailable
Facility
$278.86
No comparable office rate is available.
New Hampshire
New Hampshire · 22216
Office
Unavailable
Facility
$315.93
No comparable office rate is available.
Northern Nj
New Jersey · 22216
Office
Unavailable
Facility
$347.46
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22216
Office
Unavailable
Facility
$340.23
No comparable office rate is available.
New Mexico
New Mexico · 22216
Office
Unavailable
Facility
$327.13
No comparable office rate is available.
Nevada**
Nevada · 22216
Office
Unavailable
Facility
$310.84
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22216
Office
Unavailable
Facility
$396.19
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22216
Office
Unavailable
Facility
$348.09
No comparable office rate is available.
Queens
New York · 22216
Office
Unavailable
Facility
$371.20
No comparable office rate is available.
Rest Of New York
New York · 22216
Office
Unavailable
Facility
$299.83
No comparable office rate is available.
Ohio
Ohio · 22216
Office
Unavailable
Facility
$315.46
No comparable office rate is available.
Oklahoma
Oklahoma · 22216
Office
Unavailable
Facility
$300.50
No comparable office rate is available.
Portland
Oregon · 22216
Office
Unavailable
Facility
$315.89
No comparable office rate is available.
Rest Of Oregon
Oregon · 22216
Office
Unavailable
Facility
$302.83
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22216
Office
Unavailable
Facility
$338.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22216
Office
Unavailable
Facility
$312.06
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22216
Office
Unavailable
Facility
$320.48
No comparable office rate is available.
Rhode Island
Rhode Island · 22216
Office
Unavailable
Facility
$320.14
No comparable office rate is available.
South Carolina
South Carolina · 22216
Office
Unavailable
Facility
$306.83
No comparable office rate is available.
South Dakota**
South Dakota · 22216
Office
Unavailable
Facility
$281.39
No comparable office rate is available.
Tennessee
Tennessee · 22216
Office
Unavailable
Facility
$287.35
No comparable office rate is available.
Austin
Texas · 22216
Office
Unavailable
Facility
$318.08
No comparable office rate is available.
Beaumont
Texas · 22216
Office
Unavailable
Facility
$310.59
No comparable office rate is available.
Brazoria
Texas · 22216
Office
Unavailable
Facility
$308.63
No comparable office rate is available.
Dallas
Texas · 22216
Office
Unavailable
Facility
$313.76
No comparable office rate is available.
Fort Worth
Texas · 22216
Office
Unavailable
Facility
$313.88
No comparable office rate is available.
Galveston
Texas · 22216
Office
Unavailable
Facility
$311.60
No comparable office rate is available.
Houston
Texas · 22216
Office
Unavailable
Facility
$343.99
No comparable office rate is available.
Rest Of Texas
Texas · 22216
Office
Unavailable
Facility
$311.59
No comparable office rate is available.
Utah
Utah · 22216
Office
Unavailable
Facility
$310.71
No comparable office rate is available.
Virginia
Virginia · 22216
Office
Unavailable
Facility
$302.16
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22216
Office
Unavailable
Facility
$320.48
No comparable office rate is available.
Vermont
Vermont · 22216
Office
Unavailable
Facility
$290.79
No comparable office rate is available.
Rest Of Washington
Washington · 22216
Office
Unavailable
Facility
$312.52
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22216
Office
Unavailable
Facility
$334.43
No comparable office rate is available.
Wisconsin
Wisconsin · 22216
Office
Unavailable
Facility
$277.00
No comparable office rate is available.
West Virginia
West Virginia · 22216
Office
Unavailable
Facility
$337.60
No comparable office rate is available.
Wyoming**
Wyoming · 22216
Office
Unavailable
Facility
$305.28
No comparable office rate is available.
See how rates vary across the country
22216 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 22216 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$333.09
$302.81 × 110% = $333.09
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 22216 in Merced.
PPRRVU2026_Oct_nonQPP.csv
2,057
- Code
- 22216
- Physician work
- 5.88
- Practice expense
- 1.95
- Malpractice
- 1.77
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.017 | 5.9800 |
| Practice expense | 1.95 | × 1.096 | 2.1372 |
| Malpractice | 1.77 | × 0.536 | 0.9487 |
| Total RVUs | 9.0659 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$302.81
Open 22216 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.88 | 1.017 |
| Practice expense | 1.95 | 1.096 |
| Malpractice | 1.77 | 0.536 |
(5.88 × 1.017 + 1.95 × 1.096 + 1.77 × 0.536) × $33.4009 = $302.81
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
22216 · 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 | $302.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $302.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $302.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $302.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $339.27 | RVU25D |
| 2025-07-01 | Not available in this setting | $339.27 | RVU25C |
| 2025-04-01 | Not available in this setting | $339.27 | RVU25B |
| 2025-01-01 | Not available in this setting | $339.27 | RVU25A |
22216 billing questions
When is 22216 reported instead of 22214?
22214 reports the first lumbar segment treated with the applicable posterior or posterolateral osteotomy. Use 22216 for each additional segment treated in that procedure.
Which primary code must accompany 22216?
Report it with the primary code for the first segment: 22210 for cervical, 22212 for thoracic, or 22214 for lumbar.
How many units of 22216 should be reported?
Report one unit for each additional vertebral segment treated beyond the first. The operative report should support the number and location of those segments.
Can the included discectomy be billed separately as part of this service?
The osteotomy code family includes discectomy in its described service. Do not separately report the discectomy when it is part of the work represented by the osteotomy.
How does the add-on payment relate to the primary procedure?
22216 is billed only with a primary procedure, and its payment falls within that primary procedure’s global period.
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.
2,05422210,,Incis 1 vertebral seg cerv,A,,24.75,18.44,NA,18.44,,8.11,51.30,51.30,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05522212,,Incis 1 vertebral seg thorac,A,,20.47,16.78,NA,16.78,,6.34,43.59,43.59,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05622214,,Incis 1 vertebral seg lumbar,A,,20.49,16.58,NA,16.58,,6.17,43.24,43.24,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05722216,,Incis addl spine segment,A,,5.88,1.95,NA,1.95,,1.77,9.60,9.60,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05822220,,Osteot dsc ant 1 vrt sgm crv,A,,22.37,17.24,NA,17.24,,7.06,46.67,46.67,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05922222,,Osteot dsc ant 1vrt sgm thrc,A,,22.51,21.11,NA,21.11,,9.50,53.12,53.12,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06022224,,Osteot dsc ant 1vrt sgm lmbr,A,,22.51,16.07,NA,16.07,,5.74,44.32,44.32,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623