No office rate
Both describe anterior deformity fusion; 22810 is for four to seven vertebral segments, rather than two or three.
On this page
CMS RVU26D · Effective 2026-10-01
22808 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1693.42
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 22808: Anterior spinal deformity fusion, 2–3 segments
Anterior fusion for spinal deformity involving two or three vertebral segments, such as a surgical correction of a structural spinal curve.
This service surgically joins two or three vertebral segments through an anterior approach as part of correcting a spinal deformity. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, may perform it for conditions such as scoliosis when an anterior fusion is part of the operative plan. It is generally performed in a hospital operating room rather than an office setting.
Select this code when the operative report supports an anterior deformity fusion and documents two or three segments included in the arthrodesis. Do not select it based only on the number of vertebrae exposed or on instrumentation placed; the fusion approach, deformity indication, and segments fused should be clear. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22808
- 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 RVU26.82 · 51%
- Practice expense (office) RVU17.22 · 33%
- Malpractice RVU8.49 · 16%
94
Medicare services in 2024 · #4925 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.
22808 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
Choose 22812 for anterior deformity fusion involving eight or more vertebral segments.
No office rate
This code describes posterior deformity fusion for six or fewer segments. The approach, not just the segment count, distinguishes it from 22808.
No office rate
22845 describes anterior instrumentation for two to three segments, not the arthrodesis itself; it may accompany the fusion when fixation is performed.
The same code, a different location
How does Modesto compare?
22808 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Merced
California · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Napa
California · 22808
Office
Unavailable
Facility
$1854.37
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22808
Office
Unavailable
Facility
$1777.40
No comparable office rate is available.
Redding
California · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Rest Of California
California · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22808
Office
Unavailable
Facility
$1784.20
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22808
Office
Unavailable
Facility
$1748.97
No comparable office rate is available.
Salinas
California · 22808
Office
Unavailable
Facility
$1742.19
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22808
Office
Unavailable
Facility
$1764.28
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22808
Office
Unavailable
Facility
$1922.06
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22808
Office
Unavailable
Facility
$1912.41
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22808
Office
Unavailable
Facility
$1975.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22808
Office
Unavailable
Facility
$1936.32
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22808
Office
Unavailable
Facility
$1718.15
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22808
Office
Unavailable
Facility
$1765.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22808
Office
Unavailable
Facility
$1743.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22808
Office
Unavailable
Facility
$1780.98
No comparable office rate is available.
Stockton
California · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Vallejo
California · 22808
Office
Unavailable
Facility
$1840.47
No comparable office rate is available.
Visalia
California · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Yuba City
California · 22808
Office
Unavailable
Facility
$1693.42
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22808
Office
Unavailable
Facility
$1937.35
No comparable office rate is available.
Miami
Florida · 22808
Office
Unavailable
Facility
$2211.72
No comparable office rate is available.
Chicago
Illinois · 22808
Office
Unavailable
Facility
$2130.92
No comparable office rate is available.
Manhattan
New York · 22808
Office
Unavailable
Facility
$2071.23
No comparable office rate is available.
Alaska*
Alaska · 22808
Office
Unavailable
Facility
$2112.52
No comparable office rate is available.
Alabama
Alabama · 22808
Office
Unavailable
Facility
$1559.58
No comparable office rate is available.
Arkansas
Arkansas · 22808
Office
Unavailable
Facility
$1535.92
No comparable office rate is available.
Arizona
Arizona · 22808
Office
Unavailable
Facility
$1695.88
No comparable office rate is available.
Colorado
Colorado · 22808
Office
Unavailable
Facility
$1740.01
No comparable office rate is available.
Connecticut
Connecticut · 22808
Office
Unavailable
Facility
$1876.30
No comparable office rate is available.
Delaware
Delaware · 22808
Office
Unavailable
Facility
$1723.49
No comparable office rate is available.
Fort Lauderdale
Florida · 22808
Office
Unavailable
Facility
$1991.15
No comparable office rate is available.
Rest Of Florida
Florida · 22808
Office
Unavailable
Facility
$1871.88
No comparable office rate is available.
Atlanta
Georgia · 22808
Office
Unavailable
Facility
$1823.44
No comparable office rate is available.
Rest Of Georgia
Georgia · 22808
Office
Unavailable
Facility
$1746.88
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22808
Office
Unavailable
Facility
$1713.96
No comparable office rate is available.
Iowa
Iowa · 22808
Office
Unavailable
Facility
$1534.67
No comparable office rate is available.
Idaho
Idaho · 22808
Office
Unavailable
Facility
$1559.09
No comparable office rate is available.
East St. Louis
Illinois · 22808
Office
Unavailable
Facility
$1996.08
No comparable office rate is available.
Rest Of Illinois
Illinois · 22808
Office
Unavailable
Facility
$1864.16
No comparable office rate is available.
Suburban Chicago
Illinois · 22808
Office
Unavailable
Facility
$1995.27
No comparable office rate is available.
Indiana
Indiana · 22808
Office
Unavailable
Facility
$1566.81
No comparable office rate is available.
Kansas
Kansas · 22808
Office
Unavailable
Facility
$1558.68
No comparable office rate is available.
Kentucky
Kentucky · 22808
Office
Unavailable
Facility
$1666.60
No comparable office rate is available.
New Orleans
Louisiana · 22808
Office
Unavailable
Facility
$1759.18
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22808
Office
Unavailable
Facility
$1676.50
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22808
Office
Unavailable
Facility
$1871.67
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22808
Office
Unavailable
Facility
$1741.80
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22808
Office
Unavailable
Facility
$1878.08
No comparable office rate is available.
Rest Of Maryland
Maryland · 22808
Office
Unavailable
Facility
$1747.16
No comparable office rate is available.
Rest Of Maine
Maine · 22808
Office
Unavailable
Facility
$1601.35
No comparable office rate is available.
Southern Maine
Maine · 22808
Office
Unavailable
Facility
$1644.73
No comparable office rate is available.
Detroit
Michigan · 22808
Office
Unavailable
Facility
$1928.95
No comparable office rate is available.
Rest Of Michigan
Michigan · 22808
Office
Unavailable
Facility
$1741.09
No comparable office rate is available.
Minnesota
Minnesota · 22808
Office
Unavailable
Facility
$1571.59
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22808
Office
Unavailable
Facility
$1712.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22808
Office
Unavailable
Facility
$1727.51
No comparable office rate is available.
Rest Of Missouri
Missouri · 22808
Office
Unavailable
Facility
$1667.80
No comparable office rate is available.
Mississippi
Mississippi · 22808
Office
Unavailable
Facility
$1600.59
No comparable office rate is available.
Montana**
Montana · 22808
Office
Unavailable
Facility
$1753.98
No comparable office rate is available.
North Carolina
North Carolina · 22808
Office
Unavailable
Facility
$1613.64
No comparable office rate is available.
North Dakota**
North Dakota · 22808
Office
Unavailable
Facility
$1586.11
No comparable office rate is available.
Nebraska
Nebraska · 22808
Office
Unavailable
Facility
$1533.88
No comparable office rate is available.
New Hampshire
New Hampshire · 22808
Office
Unavailable
Facility
$1742.68
No comparable office rate is available.
Northern Nj
New Jersey · 22808
Office
Unavailable
Facility
$1922.29
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22808
Office
Unavailable
Facility
$1870.80
No comparable office rate is available.
New Mexico
New Mexico · 22808
Office
Unavailable
Facility
$1763.81
No comparable office rate is available.
Nevada**
Nevada · 22808
Office
Unavailable
Facility
$1707.77
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22808
Office
Unavailable
Facility
$2163.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22808
Office
Unavailable
Facility
$1909.05
No comparable office rate is available.
Queens
New York · 22808
Office
Unavailable
Facility
$2041.90
No comparable office rate is available.
Rest Of New York
New York · 22808
Office
Unavailable
Facility
$1641.57
No comparable office rate is available.
Ohio
Ohio · 22808
Office
Unavailable
Facility
$1706.78
No comparable office rate is available.
Oklahoma
Oklahoma · 22808
Office
Unavailable
Facility
$1629.77
No comparable office rate is available.
Portland
Oregon · 22808
Office
Unavailable
Facility
$1760.13
No comparable office rate is available.
Rest Of Oregon
Oregon · 22808
Office
Unavailable
Facility
$1668.03
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22808
Office
Unavailable
Facility
$1848.99
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22808
Office
Unavailable
Facility
$1691.79
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22808
Office
Unavailable
Facility
$1756.62
No comparable office rate is available.
Rhode Island
Rhode Island · 22808
Office
Unavailable
Facility
$1759.92
No comparable office rate is available.
South Carolina
South Carolina · 22808
Office
Unavailable
Facility
$1668.30
No comparable office rate is available.
South Dakota**
South Dakota · 22808
Office
Unavailable
Facility
$1566.26
No comparable office rate is available.
Tennessee
Tennessee · 22808
Office
Unavailable
Facility
$1570.91
No comparable office rate is available.
Austin
Texas · 22808
Office
Unavailable
Facility
$1757.37
No comparable office rate is available.
Beaumont
Texas · 22808
Office
Unavailable
Facility
$1682.65
No comparable office rate is available.
Brazoria
Texas · 22808
Office
Unavailable
Facility
$1694.15
No comparable office rate is available.
Dallas
Texas · 22808
Office
Unavailable
Facility
$1720.04
No comparable office rate is available.
Fort Worth
Texas · 22808
Office
Unavailable
Facility
$1717.98
No comparable office rate is available.
Galveston
Texas · 22808
Office
Unavailable
Facility
$1708.91
No comparable office rate is available.
Houston
Texas · 22808
Office
Unavailable
Facility
$1864.31
No comparable office rate is available.
Rest Of Texas
Texas · 22808
Office
Unavailable
Facility
$1697.71
No comparable office rate is available.
Utah
Utah · 22808
Office
Unavailable
Facility
$1691.11
No comparable office rate is available.
Virginia
Virginia · 22808
Office
Unavailable
Facility
$1661.40
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22808
Office
Unavailable
Facility
$1756.62
No comparable office rate is available.
Vermont
Vermont · 22808
Office
Unavailable
Facility
$1608.71
No comparable office rate is available.
Rest Of Washington
Washington · 22808
Office
Unavailable
Facility
$1728.90
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22808
Office
Unavailable
Facility
$1878.01
No comparable office rate is available.
Wisconsin
Wisconsin · 22808
Office
Unavailable
Facility
$1534.16
No comparable office rate is available.
West Virginia
West Virginia · 22808
Office
Unavailable
Facility
$1801.42
No comparable office rate is available.
Wyoming**
Wyoming · 22808
Office
Unavailable
Facility
$1680.82
No comparable office rate is available.
See how rates vary across the country
22808 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 22808 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1862.76
$1693.42 × 110% = $1862.76
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 22808 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
2,103
- Code
- 22808
- Physician work
- 26.82
- Practice expense
- 17.22
- Malpractice
- 8.49
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.82 | × 1.017 | 27.2759 |
| Practice expense | 17.22 | × 1.096 | 18.8731 |
| Malpractice | 8.49 | × 0.536 | 4.5506 |
| Total RVUs | 50.6997 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1693.42
Open 22808 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.82 | 1.017 |
| Practice expense | 17.22 | 1.096 |
| Malpractice | 8.49 | 0.536 |
(26.82 × 1.017 + 17.22 × 1.096 + 8.49 × 0.536) × $33.4009 = $1693.42
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
22808 · 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 | $1693.42 | RVU26D |
| 2026-07-01 | Not available in this setting | $1693.42 | RVU26C |
| 2026-04-01 | Not available in this setting | $1693.42 | RVU26B |
| 2026-01-01 | Not available in this setting | $1693.42 | RVU26A |
| 2025-10-01 | Not available in this setting | $1740.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $1740.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $1740.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $1740.77 | RVU25A |
22808 billing questions
How is this code distinguished from the larger anterior deformity fusion codes?
Use this code for two or three fused vertebral segments. The related anterior codes 22810 and 22812 describe larger segment counts.
Can this be reported with anterior instrumentation?
Anterior instrumentation may be separately reportable when performed; for two or three segments, 22845 is the related instrumentation code. Document the fixation work separately in the operative report.
Should modifier 50 be appended for a bilateral spinal procedure?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
2,10022800,,Arthrd pst dfrm<6 vrt sgm,A,,19.01,14.54,NA,14.54,,5.76,39.31,39.31,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10122802,,Arthrd pst dfrm 7-12 vrt sgm,A,,31.31,17.86,NA,17.86,,8.80,57.97,57.97,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10222804,,Arthrd pst dfrm 13+ vrt sgm,A,,36.56,19.62,NA,19.62,,10.36,66.54,66.54,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10322808,,Arthrd ant dfrm 2-3 vrt sgm,A,,26.82,17.22,NA,17.22,,8.49,52.53,52.53,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10422810,,Arthrd ant dfrm 4-7 vrt sgm,A,,30.71,16.51,NA,16.51,,6.55,53.77,53.77,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10522812,,Arthrd ant dfrm 8+ vrt sgm,A,,33.39,18.50,NA,18.50,,7.12,59.01,59.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10622818,,Kyphectomy 1-2 segments,A,,33.47,16.63,NA,16.63,,7.14,57.24,57.24,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536