No office rate
Choose 22864 for removal of a cervical artificial disc without revision or replacement. Choose 22861 when the service revises or replaces the cervical prosthesis.
On this page
CMS RVU26D · Effective 2026-10-01
22864 Disc removal Medicare reimbursement rates in Florida
Reports anterior removal of a cervical artificial disc at one interspace, without the revision or replacement service represented by a different code. Compare 22864 office and facility rates across CMS payment localities in Florida.
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 22864 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2195.73–$2667.06
3 of 3 localities have a supported rate.
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.
Where 22864 pays more and less in Florida
Spine surgery
About 22864: Cervical artificial disc removal
Reports anterior removal of a cervical artificial disc at one interspace, without the revision or replacement service represented by a different code.
A spine surgeon uses an anterior approach to remove an implanted artificial disc from one cervical interspace. This service may be performed when a cervical disc prosthesis must be taken out, such as during treatment of a device-related problem or when the surgical plan changes. It is reported for removal of the arthroplasty device, not simply removal of separate anterior fixation hardware.
The operative report should identify the cervical interspace, anterior approach, and removal performed, and distinguish removal alone from revision or replacement of the prosthesis. CMS assigns a 90-day major-surgery 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% reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 22864
- 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 RVU28.67 · 47%
- Practice expense (office) RVU19.72 · 33%
- Malpractice RVU12.12 · 20%
59
Medicare services in 2024 · #5250 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.
22864 compared with similar codes
Office rates for Florida, from the same CMS release.
22865
No office rateRmvl tot arthrp 1ntrspc lmbr
Both codes describe removal of an artificial disc at one interspace; 22864 is for the cervical region and 22865 for the lumbar region.
No office rate
22864 removes the artificial disc prosthesis. 22855 concerns removal of anterior instrumentation, such as separate fixation hardware.
Compare 22864 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$2356.74
Miami →
Office / nonfacility
Unavailable
Facility
$2667.06
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$2195.73
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22864 billing questions
When should this code be chosen instead of 22861?
Use this code when the cervical artificial disc is removed without the revision or replacement service. Code 22861 describes revision or replacement of a cervical artificial disc.
Does this code cover removal of anterior fixation hardware?
No. It represents removal of the artificial disc prosthesis. Code 22855 concerns removal of anterior instrumentation, which is a different target.
What global period applies?
CMS assigns a 90-day global period for major surgery. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this service. Team surgery is not permitted.
Can modifier 50 be used for removal at two sides?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 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.
2,13122860,,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
2,13622867,,Insj stablj dev w/dcmprn,A,,14.63,11.34,NA,11.34,,4.33,30.30,30.30,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13722868,,Insj stablj dev w/dcmprn,A,,3.90,1.31,NA,1.31,,1.22,6.43,6.43,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00