No office rate
Use 22212 when the one-segment osteotomy is thoracic; 22210 is for a cervical segment.
On this page
CMS RVU26D · Effective 2026-10-01
22210 Spinal osteotomy Medicare reimbursement rates in Massachusetts
Reports one-segment posterior or posterolateral cervical osteotomy, often for fixed deformity correction, with associated discectomy included in the operative service. Compare 22210 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 22210 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
$1704.35–$1837.05
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.
Spine surgery
About 22210: Single-segment cervical osteotomy
Reports one-segment posterior or posterolateral cervical osteotomy, often for fixed deformity correction, with associated discectomy included in the operative service.
This code represents a posterior or posterolateral osteotomy at one cervical vertebral segment; discectomy performed as part of the corrective work is included. The surgeon removes or reshapes bone to mobilize a rigid deformity, such as fixed cervical kyphosis, and improve alignment. Orthopedic spine surgeons and neurosurgeons typically perform the procedure in an operating room as part of cervical deformity reconstruction.
Choose the code when the operative report supports one treated cervical segment and the posterior or posterolateral approach. Document the level, approach, osteotomy work, and number of segments. The service has 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 others at 50%. Modifier 50 is not appropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 22210
- 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 RVU24.75 · 48%
- Practice expense (office) RVU18.44 · 36%
- Malpractice RVU8.11 · 16%
713
Medicare services in 2024 · #3243 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.
22210 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Use 22214 when the one-segment osteotomy is lumbar; 22210 is for a cervical segment.
No office rate
22216 reports additional segments and is not the primary code for the first segment. Use 22210 for the cervical primary segment.
No office rate
Both describe cervical osteotomy work at one segment, but 22220 uses an anterior approach; 22210 uses a posterior or posterolateral approach.
Compare 22210 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
$1837.05
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1704.35
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22210 billing questions
How is this code distinguished from 22212 or 22214?
Use 22210 for one cervical segment. Code 22212 is for a thoracic segment, while 22214 is for a lumbar segment.
Can 22216 be reported with this code?
When the surgeon performs osteotomy work at additional vertebral segments, 22216 is the add-on code for those additional segments. The operative report should support the number and location of the treated segments.
Is the associated discectomy separately reported?
Discectomy performed as part of the osteotomy is included in this service. Document the osteotomy and any separately performed procedures distinctly.
Should modifier 50 be appended for bilateral work?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
What assistant or co-surgeon rules apply?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,05122206,,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
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