No office rate
Use 22220 for the primary cervical anterior osteotomy segment; 22226 reports additional segments, not the first one.
On this page
CMS RVU26D · Effective 2026-10-01
22226 Spinal osteotomy Medicare reimbursement rates in Kansas
Reports each additional vertebral segment treated with an anterior spinal osteotomy and discectomy during multilevel correction of spinal deformity, beyond the primary segment. Compare 22226 office and facility rates across CMS payment localities in Kansas.
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 22226 in Kansas?
Kansas 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
$284.30
1 of 1 localities have a supported rate.
Payment area: Kansas
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 22226: Additional anterior spinal osteotomy segment
Reports each additional vertebral segment treated with an anterior spinal osteotomy and discectomy during multilevel correction of spinal deformity, beyond the primary segment.
This add-on describes an additional vertebral segment treated with an anterior spinal osteotomy that includes discectomy. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, may perform the work during surgery to mobilize the spine for correction of a deformity such as scoliosis or kyphosis. It is typically performed in an operating room as part of a multilevel anterior spinal procedure.
Report it only for additional segments beyond the first, with the applicable primary anterior osteotomy code for the cervical, thoracic, or lumbar region. The operative report should identify the approach, the vertebral levels treated, and the osteotomy and discectomy work at each additional segment. Do not report it by itself. CMS classifies the code as an add-on, so payment is within the primary procedure's global period.
CMS billing rules for 22226
- 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) RVU1.93 · 20%
- Malpractice RVU1.76 · 18%
652
Medicare services in 2024 · #3326 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.
22226 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Use 22222 for the primary thoracic anterior osteotomy segment. Add 22226 for qualifying additional segments.
No office rate
Use 22224 for the primary lumbar anterior osteotomy segment; 22226 applies to additional segments.
No office rate
22216 reports additional posterior or posterolateral osteotomy segments. Choose 22226 for additional segments treated through the anterior approach with discectomy.
Compare 22226 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
Kansas →
Office / nonfacility
Unavailable
Facility
$284.30
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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 22226 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,061
- Code
- 22226
- Physician work
- 5.88
- Practice expense
- 1.93
- Malpractice
- 1.76
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.000 | 5.8800 |
| Practice expense | 1.93 | × 0.904 | 1.7447 |
| Malpractice | 1.76 | × 0.504 | 0.8870 |
| Total RVUs | 8.5118 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$284.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.88 | 1 |
| Practice expense | 1.93 | 0.904 |
| Malpractice | 1.76 | 0.504 |
(5.88 × 1 + 1.93 × 0.904 + 1.76 × 0.504) × $33.4009 = $284.30
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.
22226 billing questions
Which primary code must accompany 22226?
Pair it with the anterior osteotomy code for the first segment: 22220 for cervical, 22222 for thoracic, or 22224 for lumbar.
When is another unit of 22226 supported?
Report an additional unit for each additional vertebral segment treated beyond the first. The operative note should make the treated levels and work at each segment clear.
Can 22226 be reported by itself?
No. It is an add-on code and must be reported with the applicable primary anterior osteotomy code.
Is the discectomy separately reported at these segments?
The osteotomy service represented by 22226 includes discectomy. Document that work as part of the additional segment rather than reporting it as a separate service.
How does 22226 differ from 22216?
22226 is for additional segments treated through an anterior approach with discectomy. Code 22216 is an additional-segment code for a posterior or posterolateral osteotomy.
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.
2,05822220,,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
2,06122226,,Osteot dsc ant 1vrt sgm ea,A,,5.88,1.93,NA,1.93,,1.76,9.57,9.57,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06222310,,Closed tx vert fx w/o manj,A,,3.36,6.07,,4.58,,0.79,10.22,8.73,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06322315,,Closed tx vert fx w/manj,A,,9.86,17.69,,10.23,,2.54,30.09,22.63,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06422318,,Treat odontoid fx w/o graft,A,,22.15,17.52,NA,17.52,,8.97,48.64,48.64,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958