No office rate
22207 identifies a three-column lumbar osteotomy. Use 22214 for the one-segment posterior or posterolateral osteotomy that is not classified as three-column.
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CMS RVU26D · Effective 2026-10-01
22214 Spine osteotomy Medicare reimbursement rates in Massachusetts
Reports a posterior or posterolateral lumbar osteotomy at one vertebral segment to mobilize the spine during correction of deformity. Compare 22214 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 22214 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
$1442.72–$1557.08
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 22214: Lumbar posterior spine osteotomy
Reports a posterior or posterolateral lumbar osteotomy at one vertebral segment to mobilize the spine during correction of deformity.
CPT 22214 describes a posterior or posterolateral osteotomy at one lumbar vertebral segment. The surgeon removes or cuts bone, with associated discectomy included in the service, to create mobility for spinal realignment. Orthopedic spine surgeons and neurosurgeons commonly perform it in an operating room during correction of conditions such as scoliosis or kyphosis. The code identifies the lumbar region and one treated segment, not the total number of vertebrae involved in the overall fusion.
Report 22214 for the primary segment and use 22216 for each additional segment when the work meets that add-on code’s requirements. The operative report should identify the approach, lumbar location, segments treated, and osteotomy performed. A 90-day global includes the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this spinal procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22214
- 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 RVU20.49 · 47%
- Practice expense (office) RVU16.58 · 38%
- Malpractice RVU6.17 · 14%
11.6K
Medicare services in 2024 · #1398 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.
22214 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
22214 reports the primary lumbar segment; 22216 is the add-on for each additional qualifying segment.
No office rate
22224 is for an anterior lumbar osteotomy. Choose 22214 when the osteotomy is performed through a posterior or posterolateral approach.
No office rate
22212 describes the corresponding one-segment posterior or posterolateral osteotomy in the thoracic region; 22214 is for the lumbar region.
Compare 22214 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
$1557.08
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1442.72
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22214 billing questions
When is 22214 different from 22207?
Use 22214 for a posterior or posterolateral osteotomy at one lumbar segment that is not described as a three-column osteotomy. Code 22207 identifies a three-column lumbar osteotomy.
Can 22216 be reported with 22214?
Yes. Report 22214 for the primary lumbar segment and 22216 for each additional qualifying segment, supported by the operative report.
Is the discectomy separately reported?
Discectomy associated with the osteotomy is included in 22214. A separate discectomy code should not represent that same included work.
Can modifier 50 be used for two sides?
No. Modifier 50 is not appropriate for this midline spinal procedure; the code is selected by lumbar segment rather than side.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
2,05322208,,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
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