No office rate
Use 22856 for initial cervical disc arthroplasty. Use 22861 when the surgeon revises or replaces an existing cervical artificial disc.
On this page
CMS RVU26D · Effective 2026-10-01
22861 Disc revision Medicare reimbursement rates in Connecticut
Reports anterior revision or replacement of an existing cervical artificial disc at one interspace, rather than initial implantation or removal alone. Compare 22861 office and facility rates across CMS payment localities in Connecticut.
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 22861 in Connecticut?
Connecticut 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
$2421.11
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 22861: Revision or replacement of cervical artificial disc
Reports anterior revision or replacement of an existing cervical artificial disc at one interspace, rather than initial implantation or removal alone.
During this anterior cervical operation, the surgeon revises or replaces an existing artificial disc at one intervertebral level. The work addresses the existing implant; it is distinct from placing a new disc for the first time. An orthopedic spine surgeon or neurosurgeon typically performs the procedure in an operating room, such as a hospital or ambulatory surgical facility.
Select the code based on the cervical location, single interspace, and revision or replacement performed. The operative report should identify the existing artificial disc, level, anterior approach, and work performed. Medicare treats this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to a 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 22861
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU32.53 · 48%
- Practice expense (office) RVU21.07 · 31%
- Malpractice RVU13.73 · 20%
20
Medicare services in 2024 · #5907 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.
22861 compared with similar codes
Office rates for Connecticut, from the same CMS release.
22862
No office rateRev rplcm rthrp 1ntrspc lmbr
Both describe revision or replacement of an existing artificial disc, but 22862 is for a lumbar interspace; 22861 is cervical.
No office rate
22864 reports removal of a cervical artificial disc without replacement. Choose 22861 when revision or replacement of the disc is performed.
Compare 22861 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$2421.11
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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 22861 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,132
- Code
- 22861
- Physician work
- 32.53
- Practice expense
- 21.07
- Malpractice
- 13.73
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.53 | × 1.020 | 33.1806 |
| Practice expense | 21.07 | × 1.077 | 22.6924 |
| Malpractice | 13.73 | × 1.210 | 16.6133 |
| Total RVUs | 72.4863 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$2421.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.53 | 1.02 |
| Practice expense | 21.07 | 1.077 |
| Malpractice | 13.73 | 1.21 |
(32.53 × 1.02 + 21.07 × 1.077 + 13.73 × 1.21) × $33.4009 = $2421.11
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.
22861 billing questions
How is this different from 22856?
22861 is for revision or replacement of an existing cervical artificial disc at one interspace. 22856 describes initial cervical disc arthroplasty, not revision of a prior implant.
Can this code be used when the artificial disc is only removed?
No. For removal of a cervical artificial disc without replacement, consider 22864. Report 22861 when the surgeon revises or replaces the existing disc.
Does this code cover more than one cervical interspace?
This code is for one cervical interspace. Document the level treated and the revision or replacement performed there.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
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 subject to a 50% reduction.
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.
2,12922858,,Tot disc arthrp 2nd lvl crv,A,,8.19,2.72,NA,2.72,,2.54,13.45,13.45,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13022859,,Insj biomechanical device,A,,5.36,1.81,NA,1.81,,1.82,8.99,8.99,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13122860,,Tot disc arthrp 2ntrspc lmbr,A,,6.71,1.92,NA,1.92,,1.68,10.31,10.31,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13222861,,Rev rplcm arthrp 1ntrspc crv,A,,32.53,21.07,NA,21.07,,13.73,67.33,67.33,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13322862,,Rev rplcm rthrp 1ntrspc lmbr,R,,31.81,22.64,NA,22.64,,13.45,67.90,67.90,0,090,0.10,0.71,0.19,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13422864,,Rmvl tot arthrp 1ntrspc crv,A,,28.67,19.72,NA,19.72,,12.12,60.51,60.51,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13522865,,Rmvl tot arthrp 1ntrspc lmbr,R,,30.96,22.35,NA,22.35,,13.08,66.39,66.39,0,090,0.10,0.71,0.19,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808