No office rate
Use 22207 when the three-column osteotomy is at a lumbar segment; 22206 identifies a thoracic segment.
On this page
CMS RVU26D · Effective 2026-10-01
22206 Spinal osteotomy Medicare reimbursement rates in Maine
Reports a three-column osteotomy at one thoracic vertebral segment, typically performed to correct a rigid spinal deformity during complex reconstruction. Compare 22206 office and facility rates across CMS payment localities in Maine.
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 22206 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2079.59–$2130.97
2 of 2 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.
Spinal surgery
About 22206: Thoracic three-column spinal osteotomy
Reports a three-column osteotomy at one thoracic vertebral segment, typically performed to correct a rigid spinal deformity during complex reconstruction.
Code 22206 represents a thoracic three-column osteotomy at one vertebral segment, a major deformity-correction procedure that removes bone across the vertebra to allow spinal realignment. Examples include a pedicle subtraction osteotomy or vertebral column resection for rigid kyphosis or scoliosis. A spine surgeon typically performs the procedure in an operating room as part of complex reconstruction. The operative report should establish the thoracic location and the three-column extent of the osteotomy.
Report one segment with this code; document the level, deformity, and work performed, and identify additional segments when present. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 22206
- 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 RVU36.25 · 53%
- Practice expense (office) RVU20.14 · 29%
- Malpractice RVU12.03 · 18%
350
Medicare services in 2024 · #3861 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.
22206 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
22206 reports the initial thoracic segment. 22208 reports each additional segment in the three-column osteotomy.
No office rate
22212 is for a thoracic osteotomy that does not meet the three-column scope; 22206 requires three-column work at one thoracic segment.
Compare 22206 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$2079.59
Southern Maine →
Office / nonfacility
Unavailable
Facility
$2130.97
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22206 billing questions
How does 22206 differ from 22207?
Both describe a three-column osteotomy at one vertebral segment. Choose 22206 for a thoracic segment and 22207 for a lumbar segment.
When is 22208 reported with 22206?
22208 is the add-on code for each additional vertebral segment when the three-column osteotomy extends beyond the initial segment. Document the additional level or levels treated.
How is 22206 distinguished from 22212?
22206 is for a thoracic three-column osteotomy. 22212 describes a thoracic osteotomy at one segment that does not meet the three-column code’s scope.
Can modifier 50 be used for 22206?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
2,04822112,,Remove part thorax vertebra,A,,13.72,15.57,NA,15.57,,5.77,35.06,35.06,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04922114,,Remove part lumbar vertebra,A,,13.72,15.57,NA,15.57,,5.77,35.06,35.06,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05022116,,Remove extra spine segment,A,,2.26,0.75,NA,0.75,,0.76,3.77,3.77,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05122206,,Incis spine 3 column thorac,A,,36.25,20.14,NA,20.14,,12.03,68.42,68.42,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05222207,,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