No office rate
Use 22212 for a posterior or posterolateral osteotomy at one thoracic segment. Use 22206 when the thoracic osteotomy is a three-column procedure.
On this page
CMS RVU26D · Effective 2026-10-01
22212 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1423.12
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 22212: Thoracic posterior spinal osteotomy
Reports a posterior or posterolateral osteotomy at one thoracic vertebral segment as part of surgical correction of spinal deformity.
This code describes a surgeon’s posterior or posterolateral osteotomy at one thoracic vertebral segment to help correct a spinal deformity, such as thoracic kyphosis or scoliosis. The work is performed in an operating room, typically by an orthopedic spine surgeon or neurosurgeon as part of a corrective spine operation. The selected code reflects the spinal region, approach, and number of vertebral segments treated; this code is for one thoracic segment, rather than a three-column osteotomy or an anterior approach.
The operative report should identify the thoracic level, approach, osteotomy performed, and segment count. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22212
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU20.47 · 47%
- Practice expense (office) RVU16.78 · 38%
- Malpractice RVU6.34 · 15%
2.6K
Medicare services in 2024 · #2272 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.
22212 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
22212 represents the primary single-segment service. 22216 reports each additional vertebral segment in the applicable osteotomy family.
No office rate
Both codes describe posterior or posterolateral osteotomy at one segment; 22212 is thoracic, while 22214 is lumbar.
No office rate
Both concern a single thoracic segment, but 22212 uses a posterior or posterolateral approach and 22222 uses an anterior approach.
The same code, a different location
How does Redding compare?
22212 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Merced
California · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Modesto
California · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Napa
California · 22212
Office
Unavailable
Facility
$1573.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22212
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Rest Of California
California · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22212
Office
Unavailable
Facility
$1490.93
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22212
Office
Unavailable
Facility
$1473.66
No comparable office rate is available.
Salinas
California · 22212
Office
Unavailable
Facility
$1468.00
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22212
Office
Unavailable
Facility
$1489.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22212
Office
Unavailable
Facility
$1636.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22212
Office
Unavailable
Facility
$1628.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22212
Office
Unavailable
Facility
$1680.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22212
Office
Unavailable
Facility
$1651.19
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22212
Office
Unavailable
Facility
$1447.22
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22212
Office
Unavailable
Facility
$1492.55
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22212
Office
Unavailable
Facility
$1469.87
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22212
Office
Unavailable
Facility
$1505.99
No comparable office rate is available.
Stockton
California · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Vallejo
California · 22212
Office
Unavailable
Facility
$1562.68
No comparable office rate is available.
Visalia
California · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Yuba City
California · 22212
Office
Unavailable
Facility
$1423.12
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 22212
Office
Unavailable
Facility
$1616.56
No comparable office rate is available.
Miami
Florida · 22212
Office
Unavailable
Facility
$1802.71
No comparable office rate is available.
Chicago
Illinois · 22212
Office
Unavailable
Facility
$1737.76
No comparable office rate is available.
Manhattan
New York · 22212
Office
Unavailable
Facility
$1714.59
No comparable office rate is available.
Alaska*
Alaska · 22212
Office
Unavailable
Facility
$1739.15
No comparable office rate is available.
Alabama
Alabama · 22212
Office
Unavailable
Facility
$1293.98
No comparable office rate is available.
Arkansas
Arkansas · 22212
Office
Unavailable
Facility
$1274.21
No comparable office rate is available.
Arizona
Arizona · 22212
Office
Unavailable
Facility
$1408.08
No comparable office rate is available.
Colorado
Colorado · 22212
Office
Unavailable
Facility
$1453.64
No comparable office rate is available.
Connecticut
Connecticut · 22212
Office
Unavailable
Facility
$1557.25
No comparable office rate is available.
Delaware
Delaware · 22212
Office
Unavailable
Facility
$1431.25
No comparable office rate is available.
Fort Lauderdale
Florida · 22212
Office
Unavailable
Facility
$1634.33
No comparable office rate is available.
Rest Of Florida
Florida · 22212
Office
Unavailable
Facility
$1537.80
No comparable office rate is available.
Atlanta
Georgia · 22212
Office
Unavailable
Facility
$1509.53
No comparable office rate is available.
Rest Of Georgia
Georgia · 22212
Office
Unavailable
Facility
$1436.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22212
Office
Unavailable
Facility
$1443.58
No comparable office rate is available.
Iowa
Iowa · 22212
Office
Unavailable
Facility
$1280.61
No comparable office rate is available.
Idaho
Idaho · 22212
Office
Unavailable
Facility
$1299.51
No comparable office rate is available.
East St. Louis
Illinois · 22212
Office
Unavailable
Facility
$1625.83
No comparable office rate is available.
Rest Of Illinois
Illinois · 22212
Office
Unavailable
Facility
$1526.41
No comparable office rate is available.
Suburban Chicago
Illinois · 22212
Office
Unavailable
Facility
$1639.34
No comparable office rate is available.
Indiana
Indiana · 22212
Office
Unavailable
Facility
$1306.19
No comparable office rate is available.
Kansas
Kansas · 22212
Office
Unavailable
Facility
$1297.11
No comparable office rate is available.
Kentucky
Kentucky · 22212
Office
Unavailable
Facility
$1375.73
No comparable office rate is available.
New Orleans
Louisiana · 22212
Office
Unavailable
Facility
$1451.68
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22212
Office
Unavailable
Facility
$1382.60
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22212
Office
Unavailable
Facility
$1569.41
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22212
Office
Unavailable
Facility
$1453.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22212
Office
Unavailable
Facility
$1557.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 22212
Office
Unavailable
Facility
$1452.14
No comparable office rate is available.
Rest Of Maine
Maine · 22212
Office
Unavailable
Facility
$1331.06
No comparable office rate is available.
Southern Maine
Maine · 22212
Office
Unavailable
Facility
$1372.76
No comparable office rate is available.
Detroit
Michigan · 22212
Office
Unavailable
Facility
$1581.60
No comparable office rate is available.
Rest Of Michigan
Michigan · 22212
Office
Unavailable
Facility
$1434.50
No comparable office rate is available.
Minnesota
Minnesota · 22212
Office
Unavailable
Facility
$1323.12
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22212
Office
Unavailable
Facility
$1416.89
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22212
Office
Unavailable
Facility
$1429.47
No comparable office rate is available.
Rest Of Missouri
Missouri · 22212
Office
Unavailable
Facility
$1373.09
No comparable office rate is available.
Mississippi
Mississippi · 22212
Office
Unavailable
Facility
$1322.77
No comparable office rate is available.
Montana**
Montana · 22212
Office
Unavailable
Facility
$1455.52
No comparable office rate is available.
North Carolina
North Carolina · 22212
Office
Unavailable
Facility
$1341.95
No comparable office rate is available.
North Dakota**
North Dakota · 22212
Office
Unavailable
Facility
$1330.16
No comparable office rate is available.
Nebraska
Nebraska · 22212
Office
Unavailable
Facility
$1281.07
No comparable office rate is available.
New Hampshire
New Hampshire · 22212
Office
Unavailable
Facility
$1452.45
No comparable office rate is available.
Northern Nj
New Jersey · 22212
Office
Unavailable
Facility
$1603.09
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22212
Office
Unavailable
Facility
$1555.40
No comparable office rate is available.
New Mexico
New Mexico · 22212
Office
Unavailable
Facility
$1451.99
No comparable office rate is available.
Nevada**
Nevada · 22212
Office
Unavailable
Facility
$1421.14
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22212
Office
Unavailable
Facility
$1787.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22212
Office
Unavailable
Facility
$1584.43
No comparable office rate is available.
Queens
New York · 22212
Office
Unavailable
Facility
$1695.31
No comparable office rate is available.
Rest Of New York
New York · 22212
Office
Unavailable
Facility
$1365.03
No comparable office rate is available.
Ohio
Ohio · 22212
Office
Unavailable
Facility
$1408.88
No comparable office rate is available.
Oklahoma
Oklahoma · 22212
Office
Unavailable
Facility
$1348.75
No comparable office rate is available.
Portland
Oregon · 22212
Office
Unavailable
Facility
$1474.89
No comparable office rate is available.
Rest Of Oregon
Oregon · 22212
Office
Unavailable
Facility
$1390.81
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22212
Office
Unavailable
Facility
$1532.10
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22212
Office
Unavailable
Facility
$1398.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22212
Office
Unavailable
Facility
$1458.93
No comparable office rate is available.
Rhode Island
Rhode Island · 22212
Office
Unavailable
Facility
$1464.56
No comparable office rate is available.
South Carolina
South Carolina · 22212
Office
Unavailable
Facility
$1381.59
No comparable office rate is available.
South Dakota**
South Dakota · 22212
Office
Unavailable
Facility
$1315.34
No comparable office rate is available.
Tennessee
Tennessee · 22212
Office
Unavailable
Facility
$1306.90
No comparable office rate is available.
Austin
Texas · 22212
Office
Unavailable
Facility
$1465.68
No comparable office rate is available.
Beaumont
Texas · 22212
Office
Unavailable
Facility
$1390.47
No comparable office rate is available.
Brazoria
Texas · 22212
Office
Unavailable
Facility
$1409.78
No comparable office rate is available.
Dallas
Texas · 22212
Office
Unavailable
Facility
$1429.79
No comparable office rate is available.
Fort Worth
Texas · 22212
Office
Unavailable
Facility
$1426.93
No comparable office rate is available.
Galveston
Texas · 22212
Office
Unavailable
Facility
$1421.07
No comparable office rate is available.
Houston
Texas · 22212
Office
Unavailable
Facility
$1537.11
No comparable office rate is available.
Rest Of Texas
Texas · 22212
Office
Unavailable
Facility
$1406.82
No comparable office rate is available.
Utah
Utah · 22212
Office
Unavailable
Facility
$1400.72
No comparable office rate is available.
Virginia
Virginia · 22212
Office
Unavailable
Facility
$1384.16
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22212
Office
Unavailable
Facility
$1458.93
No comparable office rate is available.
Vermont
Vermont · 22212
Office
Unavailable
Facility
$1345.73
No comparable office rate is available.
Rest Of Washington
Washington · 22212
Office
Unavailable
Facility
$1443.93
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22212
Office
Unavailable
Facility
$1578.60
No comparable office rate is available.
Wisconsin
Wisconsin · 22212
Office
Unavailable
Facility
$1285.87
No comparable office rate is available.
West Virginia
West Virginia · 22212
Office
Unavailable
Facility
$1473.79
No comparable office rate is available.
Wyoming**
Wyoming · 22212
Office
Unavailable
Facility
$1400.89
No comparable office rate is available.
See how rates vary across the country
22212 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 22212 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1565.43
$1423.12 × 110% = $1565.43
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 22212 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,055
- Code
- 22212
- Physician work
- 20.47
- Practice expense
- 16.78
- Malpractice
- 6.34
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.47 | × 1.017 | 20.8180 |
| Practice expense | 16.78 | × 1.096 | 18.3909 |
| Malpractice | 6.34 | × 0.536 | 3.3982 |
| Total RVUs | 42.6071 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1423.12
Open 22212 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.47 | 1.017 |
| Practice expense | 16.78 | 1.096 |
| Malpractice | 6.34 | 0.536 |
(20.47 × 1.017 + 16.78 × 1.096 + 6.34 × 0.536) × $33.4009 = $1423.12
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
22212 · 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 | $1423.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $1423.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $1423.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $1423.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $1476.94 | RVU25D |
| 2025-07-01 | Not available in this setting | $1476.94 | RVU25C |
| 2025-04-01 | Not available in this setting | $1476.94 | RVU25B |
| 2025-01-01 | Not available in this setting | $1476.94 | RVU25A |
22212 billing questions
How is this code different from a three-column thoracic osteotomy?
This code represents a posterior or posterolateral osteotomy at one thoracic vertebral segment. Code 22206 is for a three-column osteotomy at one thoracic segment.
Can an additional vertebral segment be reported?
Code 22216 is the add-on code for each additional vertebral segment in this osteotomy family. Document the additional segment treated and report it with the applicable primary osteotomy code.
What documentation supports reporting one segment?
The operative report should identify the thoracic level and describe the osteotomy and posterior or posterolateral approach. It should make clear that the work involved one vertebral segment.
Is the related postoperative care separately reported?
The code has a 90-day global period. Related postoperative care during that period, along with the day-before preoperative visit, is included.
How are multiple procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the other procedures in that session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
2,05222207,,Incis spine 3 column lumbar,A,,35.76,19.61,NA,19.61,,10.93,66.30,66.30,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05322208,,Incis spine 3 column adl seg,A,,9.42,3.19,NA,3.19,,3.20,15.81,15.81,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05422210,,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
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536