No office rate
22551 represents the primary cervical interspace fusion. Use 22552 only for each additional interspace fused in the same anterior operative service.
On this page
CMS RVU26D · Effective 2026-10-01
22552 Cervical fusion Medicare reimbursement rates in Missouri
Reports each additional cervical interspace fused through an anterior approach after the primary-level procedure in a multilevel cervical fusion. Compare 22552 office and facility rates across CMS payment localities in Missouri.
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 22552 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$341.41–$349.77
3 of 3 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.
Where 22552 pays more and less in Missouri
Spine surgery
About 22552: Additional-level anterior cervical fusion
Reports each additional cervical interspace fused through an anterior approach after the primary-level procedure in a multilevel cervical fusion.
22552 represents an additional cervical interspace fused through an anterior approach after the surgeon performs the primary-level work. A spine surgeon prepares the additional disc space and creates an interbody fusion; disc removal and neural decompression are part of the service when performed. Typical cases include multilevel cervical degenerative disc disease or stenosis treated in an operating room.
Report 22552 only with 22551, for each additional interspace beyond the first qualifying cervical level. The operative report should identify the fused interspaces, the anterior approach, and the work at each level. This is an add-on code, not a stand-alone service, and CMS pays it within the primary procedure’s global period. Report instrumentation or graft services under their own codes when separately reportable.
CMS billing rules for 22552
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU6.34 · 60%
- Practice expense (office) RVU2.13 · 20%
- Malpractice RVU2.10 · 20%
46.5K
Medicare services in 2024 · #808 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.
22552 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
22554 describes anterior cervical fusion without the decompression work represented by 22551; 22552 is the additional-level code paired with 22551.
No office rate
22585 applies to additional thoracic or lumbar interspaces in the corresponding anterior interbody fusion family; 22552 is specific to additional cervical interspaces.
Compare 22552 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$347.09
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$349.77
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$341.41
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22552 billing questions
Can 22552 be reported without 22551?
No. Report 22552 with 22551 when the surgeon fuses one or more additional cervical interspaces through the anterior approach.
How many units of 22552 should be reported?
Report one unit for each additional fused interspace beyond the first level represented by 22551.
What documentation supports an additional-level claim?
The operative report should identify each interspace fused, confirm the anterior approach, and distinguish the additional level from the primary level.
Is disc removal or decompression separately reported at the added level?
Disc preparation and decompression performed as part of the anterior fusion service are included in the 22551/22552 coding structure; do not unbundle that work.
How does 22552 differ from 22585?
22552 is for additional cervical interspaces paired with 22551. 22585 is the additional-interspace code used for the corresponding anterior interbody fusion work in the thoracic or lumbar region.
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.
2,08122534,,Arthrd lat xtrcvtry tq ea ad,A,,5.84,1.94,NA,1.94,,1.91,9.69,9.69,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08222548,,Arthrd ant toral/xoral c1-c2,A,,26.38,20.66,NA,20.66,,11.15,58.19,58.19,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08322551,,Arthrd ant ntrbdy cervical,A,,24.38,15.43,NA,15.43,,8.24,48.05,48.05,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08422552,,Arthrd ant ntrbd cervical ea,A,,6.34,2.13,NA,2.13,,2.10,10.57,10.57,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08522554,,Arthrd ant ntrbd min dsc crv,A,,17.25,13.35,NA,13.35,,5.80,36.40,36.40,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08622556,,Arthrd ant ntrbd min dsc thc,A,,24.08,16.08,NA,16.08,,7.71,47.87,47.87,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,08722558,,Arthrd ant ntrbd min dsc lum,A,,22.94,13.20,NA,13.20,,6.49,42.63,42.63,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00