No office rate
22868 reports an additional treated segment in the decompression-and-stabilization service; 22867 covers the initial single level.
On this page
CMS RVU26D · Effective 2026-10-01
22867 Spinal stabilization Medicare reimbursement rates in Florida
Reports placement of a lumbar interspinous stabilization device with decompression at one level, without fusion, for selected stenosis cases. Compare 22867 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 22867 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
$1068.13–$1248.71
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 22867 pays more and less in Florida
Spine surgery
About 22867: Lumbar interspinous stabilization with decompression
Reports placement of a lumbar interspinous stabilization device with decompression at one level, without fusion, for selected stenosis cases.
A spine surgeon places a stabilization device between adjacent lumbar spinous processes and performs decompression at that level. The procedure is used for selected cases of lumbar spinal stenosis, including stenosis associated with neurogenic claudication, when the operative plan combines decompression with interspinous stabilization rather than fusion. It is typically performed in a facility operating room through a posterior approach.
Report one unit for the single treated level when both device placement and decompression are performed. The operative report should identify the lumbar level, the decompression performed, and the implanted device; decompression included in this service should not be separately reported at that same level. The additional-level code 22868 is used for another segment when its requirements are met. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are not permitted.
CMS billing rules for 22867
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.63 · 48%
- Practice expense (office) RVU11.34 · 37%
- Malpractice RVU4.33 · 14%
1.5K
Medicare services in 2024 · #2672 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.
22867 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
22869 is for single-level lumbar interspinous stabilization without decompression. Use 22867 when decompression is performed as part of the service.
No office rate
63047 reports lumbar decompression without the interspinous stabilization service described by 22867. The decompression at the 22867 level is included in that code.
Compare 22867 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
$1133.83
Miami →
Office / nonfacility
Unavailable
Facility
$1248.71
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1068.13
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22867 billing questions
How does this differ from 22869?
This code includes decompression with lumbar interspinous stabilization at one level. Code 22869 describes the comparable single-level device placement without decompression.
Can the decompression also be billed separately?
Decompression at the same level is included in this service. Do not separately report that same-level decompression as an additional procedure.
How is another treated level reported?
Code 22868 is the additional-segment code associated with 22867. Document each level treated and confirm the additional-segment requirements before reporting it.
Should modifier 50 be used for bilateral work?
No. Modifier 50 is inappropriate for this code; report the service for the treated lumbar level.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeons and team surgery are not permitted for this code.
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.
2,13322862,,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
2,13822869,,Insj stablj dev w/o dcmprn,A,,6.85,4.32,NA,4.32,,0.66,11.83,11.83,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,13922870,,Insj stablj dev w/o dcmprn,A,,2.28,0.53,NA,0.53,,0.21,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00