No office rate
Use 22212 for a posterior or posterolateral osteotomy at one thoracic segment. Use 22206 when the thoracic osteotomy is a three-column procedure.
On this page
CMS RVU26D · Effective 2026-10-01
22212 Spinal osteotomy Medicare reimbursement rates in Kentucky
Reports a posterior or posterolateral osteotomy at one thoracic vertebral segment as part of surgical correction of spinal deformity. Compare 22212 office and facility rates across CMS payment localities in Kentucky.
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 22212 in Kentucky?
Kentucky 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
$1375.73
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 22212: Thoracic posterior spinal osteotomy
Reports a posterior or posterolateral osteotomy at one thoracic vertebral segment as part of surgical correction of spinal deformity.
This code describes a surgeon’s posterior or posterolateral osteotomy at one thoracic vertebral segment to help correct a spinal deformity, such as thoracic kyphosis or scoliosis. The work is performed in an operating room, typically by an orthopedic spine surgeon or neurosurgeon as part of a corrective spine operation. The selected code reflects the spinal region, approach, and number of vertebral segments treated; this code is for one thoracic segment, rather than a three-column osteotomy or an anterior approach.
The operative report should identify the thoracic level, approach, osteotomy performed, and segment count. Medicare assigns a 90-day 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% multiple-procedure reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22212
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU20.47 · 47%
- Practice expense (office) RVU16.78 · 38%
- Malpractice RVU6.34 · 15%
2.6K
Medicare services in 2024 · #2272 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.
22212 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
22212 represents the primary single-segment service. 22216 reports each additional vertebral segment in the applicable osteotomy family.
No office rate
Both codes describe posterior or posterolateral osteotomy at one segment; 22212 is thoracic, while 22214 is lumbar.
No office rate
Both concern a single thoracic segment, but 22212 uses a posterior or posterolateral approach and 22222 uses an anterior approach.
Compare 22212 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1375.73
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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 22212 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,055
- Code
- 22212
- Physician work
- 20.47
- Practice expense
- 16.78
- Malpractice
- 6.34
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.47 | × 1.000 | 20.4700 |
| Practice expense | 16.78 | × 0.889 | 14.9174 |
| Malpractice | 6.34 | × 0.915 | 5.8011 |
| Total RVUs | 41.1885 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1375.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.47 | 1 |
| Practice expense | 16.78 | 0.889 |
| Malpractice | 6.34 | 0.915 |
(20.47 × 1 + 16.78 × 0.889 + 6.34 × 0.915) × $33.4009 = $1375.73
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.
22212 billing questions
How is this code different from a three-column thoracic osteotomy?
This code represents a posterior or posterolateral osteotomy at one thoracic vertebral segment. Code 22206 is for a three-column osteotomy at one thoracic segment.
Can an additional vertebral segment be reported?
Code 22216 is the add-on code for each additional vertebral segment in this osteotomy family. Document the additional segment treated and report it with the applicable primary osteotomy code.
What documentation supports reporting one segment?
The operative report should identify the thoracic level and describe the osteotomy and posterior or posterolateral approach. It should make clear that the work involved one vertebral segment.
Is the related postoperative care separately reported?
The code has a 90-day global period. Related postoperative care during that period, along with the day-before preoperative visit, is included.
How are multiple procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the other procedures in that session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; 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 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.
2,05222207,,Incis spine 3 column lumbar,A,,35.76,19.61,NA,19.61,,10.93,66.30,66.30,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05322208,,Incis spine 3 column adl seg,A,,9.42,3.19,NA,3.19,,3.20,15.81,15.81,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05422210,,Incis 1 vertebral seg cerv,A,,24.75,18.44,NA,18.44,,8.11,51.30,51.30,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05522212,,Incis 1 vertebral seg thorac,A,,20.47,16.78,NA,16.78,,6.34,43.59,43.59,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05622214,,Incis 1 vertebral seg lumbar,A,,20.49,16.58,NA,16.58,,6.17,43.24,43.24,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05722216,,Incis addl spine segment,A,,5.88,1.95,NA,1.95,,1.77,9.60,9.60,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05822220,,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
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631