No office rate
Both address lumbar vertebral lesions without neural decompression. Choose 22114 for excision of a benign vertebral tumor or cyst; 22102 describes partial removal for an intrinsic bony lesion.
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CMS RVU26D · Effective 2026-10-01
22102 Vertebral excision Medicare reimbursement rates in Massachusetts
Report 22102 for partial removal of a lumbar vertebral body to treat an intrinsic bone lesion when the procedure does not decompress a spinal nerve root or cord. Compare 22102 office and facility rates across CMS payment localities in Massachusetts.
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 22102 in Massachusetts?
Massachusetts 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
$710.99–$765.33
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 22102: Lumbar vertebral lesion excision
Report 22102 for partial removal of a lumbar vertebral body to treat an intrinsic bone lesion when the procedure does not decompress a spinal nerve root or cord.
This code describes partial removal of a lumbar vertebral body to address a lesion arising within the bone, without decompressing the spinal cord or a nerve root. A spine surgeon typically performs the operation in a hospital operating room. The operative report should identify the lumbar vertebral level, the bony lesion, the portion removed, and whether neural decompression was performed. A procedure specifically directed at excising a benign vertebral tumor or cyst may instead fit code 22114.
Report 22102 for the lumbar segment treated; use 22103 for each additional vertebral segment when applicable. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22102
- 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 RVU10.80 · 51%
- Practice expense (office) RVU8.47 · 40%
- Malpractice RVU1.75 · 8%
444
Medicare services in 2024 · #3656 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.
22102 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
22102 reports the lumbar vertebral segment treated as the primary service. 22103 is the add-on for each additional vertebral segment, not a substitute for the primary code.
No office rate
63047 describes lumbar spinal stenosis decompression. 22102 concerns partial removal of a vertebral body for an intrinsic bone lesion without spinal cord or nerve-root decompression.
Compare 22102 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$765.33
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$710.99
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22102 billing questions
When should 22102 be chosen over 22114?
Use 22102 for partial removal of a lumbar vertebral body for an intrinsic bone lesion without neural decompression. Code 22114 is the lumbar option for excision of a benign vertebral tumor or cyst without cord or nerve-root decompression.
Can 22103 be reported with 22102?
Yes. Code 22103 is the add-on for each additional vertebral segment; document the additional level or levels treated.
Can 22102 be reported when spinal decompression is performed?
This code describes vertebral lesion removal without spinal cord or nerve-root decompression. If decompression is part of the operation, select coding that reflects the documented work rather than treating 22102 as the decompression service.
What supports reporting 22102?
The operative report should identify the lumbar level, the intrinsic bony lesion, the partial vertebral-body removal, and whether decompression occurred.
How do global and multiple-procedure payment rules affect 22102?
It has a 90-day global period that includes 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 are reduced under the standard multiple-procedure rule.
Which surgical assistance rules apply?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while 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.
2,04222015,,I&d abscess p-spine l/s/ls,A,,12.32,11.66,NA,11.66,,3.62,27.60,27.60,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04322100,,Remove part of neck vertebra,A,,10.73,14.53,NA,14.53,,4.51,29.77,29.77,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04422101,,Remove part thorax vertebra,A,,10.80,11.75,NA,11.75,,3.43,25.98,25.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04522102,,Remove part lumbar vertebra,A,,10.80,8.47,NA,8.47,,1.75,21.02,21.02,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04622103,,Remove extra spine segment,A,,2.28,0.69,NA,0.69,,0.50,3.47,3.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04722110,,Remove part of neck vertebra,A,,13.65,12.46,NA,12.46,,4.40,30.51,30.51,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04822112,,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