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 Spinal osteotomy Medicare reimbursement rates in Alabama
Report this add-on for each additional vertebral segment treated with a posterior or posterolateral spinal osteotomy beyond the first segment. Compare 22216 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 22216 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$286.85
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, 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.
Compare 22216 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$286.85
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,057
- Code
- 22216
- Physician work
- 5.88
- Practice expense
- 1.95
- Malpractice
- 1.77
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.000 | 5.8800 |
| Practice expense | 1.95 | × 0.875 | 1.7063 |
| Malpractice | 1.77 | × 0.566 | 1.0018 |
| Total RVUs | 8.5881 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$286.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.88 | 1 |
| Practice expense | 1.95 | 0.875 |
| Malpractice | 1.77 | 0.566 |
(5.88 × 1 + 1.95 × 0.875 + 1.77 × 0.566) × $33.4009 = $286.85
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.
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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515