Billing code 22214: Spine osteotomyMedicare rate & RVUs in Delaware
Reports a posterior or posterolateral lumbar osteotomy at one vertebral segment to mobilize the spine during correction of deformity.
CMS doesn’t publish an office rate for 22214 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 22214 covers
billing code 22214 describes a posterior or posterolateral osteotomy at one lumbar vertebral segment. The surgeon removes or cuts bone, with associated discectomy included in the service, to create mobility for spinal realignment. Orthopedic spine surgeons and neurosurgeons commonly perform it in an operating room during correction of conditions such as scoliosis or kyphosis. The code identifies the lumbar region and one treated segment, not the total number of vertebrae involved in the overall fusion.
Report 22214 for the primary segment and use 22216 for each additional segment when the work meets that add-on code’s requirements. The operative report should identify the approach, lumbar location, segments treated, and osteotomy performed. A 90-day global includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this spinal procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
22214 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $1,420.22 |
How the 22214 rate is calculated
Each of 22214’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 22214
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 20.49Practice expense 16.58Malpractice 6.17
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 22214
22214 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22214
Spine osteotomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 22214
Spine osteotomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
22214 without 51 · national facility
$1,444.25
Spine osteotomy
22214-51 · Second procedure: 50%
$722.13
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
22214 compared with similar codes
Compare codes
22214 vs 22207 vs 22216 vs 22224 vs 22212: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 22207Spinal osteotomy
- 22207 identifies a three-column lumbar osteotomy. Use 22214 for the one-segment posterior or posterolateral osteotomy that is not classified as three-column.
- 22216Spinal osteotomy
- 22214 reports the primary lumbar segment; 22216 is the add-on for each additional qualifying segment.
- 22224Spinal osteotomy
- 22224 is for an anterior lumbar osteotomy. Choose 22214 when the osteotomy is performed through a posterior or posterolateral approach.
- 22212Spinal osteotomy
- 22212 describes the corresponding one-segment posterior or posterolateral osteotomy in the thoracic region; 22214 is for the lumbar region.
22214 billing questions
When is 22214 different from 22207?
Use 22214 for a posterior or posterolateral osteotomy at one lumbar segment that is not described as a three-column osteotomy. Code 22207 identifies a three-column lumbar osteotomy.
Can 22216 be reported with 22214?
Yes. Report 22214 for the primary lumbar segment and 22216 for each additional qualifying segment, supported by the operative report.
Is the discectomy separately reported?
Discectomy associated with the osteotomy is included in 22214. A separate discectomy code should not represent that same included work.
Can modifier 50 be used for two sides?
No. Modifier 50 is not appropriate for this midline spinal procedure; the code is selected by lumbar segment rather than side.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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