No office rate
22558 reports the primary lumbar anterior interbody fusion space; 22585 reports an additional space when the applicable primary procedure is also performed.
On this page
CMS RVU26D · Effective 2026-10-01
22585 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$273.60
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 22585: Additional anterior interbody fusion level
Reports an additional intervertebral space fused through an anterior interbody approach, alongside the primary code for the first space treated.
22585 represents fusion at an additional intervertebral space using an anterior interbody approach. The surgeon removes disc material as needed to prepare the space for fusion; this code describes preparation for fusion, not a separate nerve-root or spinal-cord decompression. It may be used for additional cervical, thoracic, or lumbar spaces when the corresponding primary anterior interbody fusion procedure is performed. Spine surgeons, including orthopedic surgeons and neurosurgeons, typically perform these operations in an operating room.
Report 22585 only with the appropriate primary code for the first interspace, such as 22554, 22556, or 22558. The operative report should identify each fused interspace and support that 22585 represents an additional space beyond the one reported by the primary code. CMS classifies 22585 as an add-on code: it is not billed by itself, and its payment falls within the primary procedure’s global period.
CMS billing rules for 22585
- 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 RVU5.38 · 62%
- Practice expense (office) RVU1.62 · 19%
- Malpractice RVU1.61 · 19%
26.6K
Medicare services in 2024 · #1021 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.
22585 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
22552 is used for an additional level with 22551, the cervical fusion code that includes decompression. 22585 is used with the applicable anterior interbody fusion primary code for a different procedure structure.
No office rate
22551 describes cervical anterior fusion that includes decompression. 22585 describes an additional interspace with the applicable non-decompressive anterior interbody fusion procedure.
The same code, a different location
How does Wyoming** compare?
22585 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 22585
Office
Unavailable
Facility
$257.48
No comparable office rate is available.
Arkansas
Arkansas · 22585
Office
Unavailable
Facility
$253.87
No comparable office rate is available.
Arizona
Arizona · 22585
Office
Unavailable
Facility
$278.16
No comparable office rate is available.
Bakersfield
California · 22585
Office
Unavailable
Facility
$275.16
No comparable office rate is available.
Chico
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
El Centro
California · 22585
Office
Unavailable
Facility
$271.15
No comparable office rate is available.
Fresno
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Hanford-Corcoran
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Madera
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Merced
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Modesto
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Napa
California · 22585
Office
Unavailable
Facility
$289.65
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 22585
Office
Unavailable
Facility
$282.19
No comparable office rate is available.
Redding
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Rest Of California
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 22585
Office
Unavailable
Facility
$288.11
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 22585
Office
Unavailable
Facility
$277.92
No comparable office rate is available.
Salinas
California · 22585
Office
Unavailable
Facility
$276.80
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 22585
Office
Unavailable
Facility
$278.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 22585
Office
Unavailable
Facility
$297.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 22585
Office
Unavailable
Facility
$295.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 22585
Office
Unavailable
Facility
$306.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 22585
Office
Unavailable
Facility
$298.84
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 22585
Office
Unavailable
Facility
$273.21
No comparable office rate is available.
Santa Cruz-Watsonville
California · 22585
Office
Unavailable
Facility
$278.04
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 22585
Office
Unavailable
Facility
$276.64
No comparable office rate is available.
Santa Rosa-Petaluma
California · 22585
Office
Unavailable
Facility
$280.36
No comparable office rate is available.
Stockton
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Vallejo
California · 22585
Office
Unavailable
Facility
$287.02
No comparable office rate is available.
Visalia
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Yuba City
California · 22585
Office
Unavailable
Facility
$270.88
No comparable office rate is available.
Colorado
Colorado · 22585
Office
Unavailable
Facility
$281.42
No comparable office rate is available.
Connecticut
Connecticut · 22585
Office
Unavailable
Facility
$306.63
No comparable office rate is available.
Delaware
Delaware · 22585
Office
Unavailable
Facility
$282.40
No comparable office rate is available.
Fort Lauderdale
Florida · 22585
Office
Unavailable
Facility
$331.74
No comparable office rate is available.
Rest Of Florida
Florida · 22585
Office
Unavailable
Facility
$312.25
No comparable office rate is available.
Atlanta
Georgia · 22585
Office
Unavailable
Facility
$299.80
No comparable office rate is available.
Rest Of Georgia
Georgia · 22585
Office
Unavailable
Facility
$292.06
No comparable office rate is available.
Hawaii, Guam
Hawaii · 22585
Office
Unavailable
Facility
$272.36
No comparable office rate is available.
Iowa
Iowa · 22585
Office
Unavailable
Facility
$250.56
No comparable office rate is available.
Idaho
Idaho · 22585
Office
Unavailable
Facility
$254.91
No comparable office rate is available.
East St. Louis
Illinois · 22585
Office
Unavailable
Facility
$337.78
No comparable office rate is available.
Rest Of Illinois
Illinois · 22585
Office
Unavailable
Facility
$313.15
No comparable office rate is available.
Suburban Chicago
Illinois · 22585
Office
Unavailable
Facility
$331.82
No comparable office rate is available.
Indiana
Indiana · 22585
Office
Unavailable
Facility
$255.99
No comparable office rate is available.
Kansas
Kansas · 22585
Office
Unavailable
Facility
$255.71
No comparable office rate is available.
Kentucky
Kentucky · 22585
Office
Unavailable
Facility
$277.00
No comparable office rate is available.
New Orleans
Louisiana · 22585
Office
Unavailable
Facility
$291.70
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 22585
Office
Unavailable
Facility
$279.10
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 22585
Office
Unavailable
Facility
$299.53
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 22585
Office
Unavailable
Facility
$282.41
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 22585
Office
Unavailable
Facility
$307.15
No comparable office rate is available.
Rest Of Maryland
Maryland · 22585
Office
Unavailable
Facility
$285.62
No comparable office rate is available.
Rest Of Maine
Maine · 22585
Office
Unavailable
Facility
$262.93
No comparable office rate is available.
Southern Maine
Maine · 22585
Office
Unavailable
Facility
$267.25
No comparable office rate is available.
Detroit
Michigan · 22585
Office
Unavailable
Facility
$322.58
No comparable office rate is available.
Rest Of Michigan
Michigan · 22585
Office
Unavailable
Facility
$289.81
No comparable office rate is available.
Minnesota
Minnesota · 22585
Office
Unavailable
Facility
$251.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 22585
Office
Unavailable
Facility
$283.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 22585
Office
Unavailable
Facility
$285.09
No comparable office rate is available.
Rest Of Missouri
Missouri · 22585
Office
Unavailable
Facility
$278.72
No comparable office rate is available.
Mississippi
Mississippi · 22585
Office
Unavailable
Facility
$266.03
No comparable office rate is available.
Montana**
Montana · 22585
Office
Unavailable
Facility
$287.47
No comparable office rate is available.
North Carolina
North Carolina · 22585
Office
Unavailable
Facility
$264.54
No comparable office rate is available.
North Dakota**
North Dakota · 22585
Office
Unavailable
Facility
$255.64
No comparable office rate is available.
Nebraska
Nebraska · 22585
Office
Unavailable
Facility
$249.97
No comparable office rate is available.
New Hampshire
New Hampshire · 22585
Office
Unavailable
Facility
$283.08
No comparable office rate is available.
Northern Nj
New Jersey · 22585
Office
Unavailable
Facility
$311.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 22585
Office
Unavailable
Facility
$304.96
No comparable office rate is available.
New Mexico
New Mexico · 22585
Office
Unavailable
Facility
$293.90
No comparable office rate is available.
Nevada**
Nevada · 22585
Office
Unavailable
Facility
$278.66
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 22585
Office
Unavailable
Facility
$355.39
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 22585
Office
Unavailable
Facility
$312.10
No comparable office rate is available.
Queens
New York · 22585
Office
Unavailable
Facility
$332.70
No comparable office rate is available.
Rest Of New York
New York · 22585
Office
Unavailable
Facility
$268.90
No comparable office rate is available.
Ohio
Ohio · 22585
Office
Unavailable
Facility
$283.30
No comparable office rate is available.
Oklahoma
Oklahoma · 22585
Office
Unavailable
Facility
$269.80
No comparable office rate is available.
Portland
Oregon · 22585
Office
Unavailable
Facility
$282.70
No comparable office rate is available.
Rest Of Oregon
Oregon · 22585
Office
Unavailable
Facility
$271.39
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 22585
Office
Unavailable
Facility
$303.41
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 22585
Office
Unavailable
Facility
$280.19
No comparable office rate is available.
Puerto Rico
Puerto Rico · 22585
Office
Unavailable
Facility
$287.37
No comparable office rate is available.
Rhode Island
Rhode Island · 22585
Office
Unavailable
Facility
$286.97
No comparable office rate is available.
South Carolina
South Carolina · 22585
Office
Unavailable
Facility
$275.40
No comparable office rate is available.
South Dakota**
South Dakota · 22585
Office
Unavailable
Facility
$251.87
No comparable office rate is available.
Tennessee
Tennessee · 22585
Office
Unavailable
Facility
$257.76
No comparable office rate is available.
Austin
Texas · 22585
Office
Unavailable
Facility
$284.95
No comparable office rate is available.
Beaumont
Texas · 22585
Office
Unavailable
Facility
$278.89
No comparable office rate is available.
Brazoria
Texas · 22585
Office
Unavailable
Facility
$276.70
No comparable office rate is available.
Dallas
Texas · 22585
Office
Unavailable
Facility
$281.35
No comparable office rate is available.
Fort Worth
Texas · 22585
Office
Unavailable
Facility
$281.50
No comparable office rate is available.
Galveston
Texas · 22585
Office
Unavailable
Facility
$279.39
No comparable office rate is available.
Houston
Texas · 22585
Office
Unavailable
Facility
$308.86
No comparable office rate is available.
Rest Of Texas
Texas · 22585
Office
Unavailable
Facility
$279.61
No comparable office rate is available.
Utah
Utah · 22585
Office
Unavailable
Facility
$278.85
No comparable office rate is available.
Virginia
Virginia · 22585
Office
Unavailable
Facility
$270.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 22585
Office
Unavailable
Facility
$287.37
No comparable office rate is available.
Vermont
Vermont · 22585
Office
Unavailable
Facility
$260.48
No comparable office rate is available.
Rest Of Washington
Washington · 22585
Office
Unavailable
Facility
$279.93
No comparable office rate is available.
Seattle (King Cnty)
Washington · 22585
Office
Unavailable
Facility
$299.01
No comparable office rate is available.
Wisconsin
Wisconsin · 22585
Office
Unavailable
Facility
$248.10
No comparable office rate is available.
West Virginia
West Virginia · 22585
Office
Unavailable
Facility
$303.67
No comparable office rate is available.
See how rates vary across the country
22585 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 22585 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$300.96
$273.60 × 110% = $300.96
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 22585 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,088
- Code
- 22585
- Physician work
- 5.38
- Practice expense
- 1.62
- Malpractice
- 1.61
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.38 | × 1.000 | 5.3800 |
| Practice expense | 1.62 | × 1.000 | 1.6200 |
| Malpractice | 1.61 | × 0.740 | 1.1914 |
| Total RVUs | 8.1914 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$273.60
Open 22585 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.38 | 1 |
| Practice expense | 1.62 | 1 |
| Malpractice | 1.61 | 0.74 |
(5.38 × 1 + 1.62 × 1 + 1.61 × 0.74) × $33.4009 = $273.60
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
22585 · 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 | $273.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $273.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $273.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $273.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $300.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $300.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $300.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $300.90 | RVU25A |
22585 billing questions
Can 22585 be billed by itself?
No. Report it only with the appropriate primary anterior interbody fusion code for the first treated interspace.
Which primary codes may be paired with 22585?
Use the primary code that matches the region and procedure, such as 22554 for cervical, 22556 for thoracic, or 22558 for lumbar fusion.
How many units should be reported?
Report an additional unit for each separately documented interspace beyond the first, following the applicable coding instructions.
How is 22585 different from 22552?
22585 is used for an additional space with the anterior interbody fusion procedures represented by 22554, 22556, or 22558. 22552 is the additional-level code associated with the decompressive cervical fusion code 22551.
Does 22585 have its own global period?
CMS identifies it as an add-on code paid within the global period of the primary procedure.
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.
2,08522554,,Arthrd ant ntrbd min dsc crv,A,,17.25,13.35,NA,13.35,,5.80,36.40,36.40,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08622556,,Arthrd ant ntrbd min dsc thc,A,,24.08,16.08,NA,16.08,,7.71,47.87,47.87,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08722558,,Arthrd ant ntrbd min dsc lum,A,,22.94,13.20,NA,13.20,,6.49,42.63,42.63,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08822585,,Arthrd ant ntrbd min dsc ea,A,,5.38,1.62,NA,1.62,,1.61,8.61,8.61,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08922586,,Arthrd pre-sac ntrbdy l5-s1,A,,27.42,21.11,NA,21.11,,11.59,60.12,60.12,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09022590,,Arthrd pst tq craniocervical,A,,21.22,17.41,NA,17.41,,8.05,46.68,46.68,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09122595,,Arthrd pst tq atlas-axis,A,,20.12,17.09,NA,17.09,,7.67,44.88,44.88,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,