No office rate
Use 22853 for a device placed in an intervertebral disc space during arthrodesis. 22854 is for a vertebral body defect, such as a corpectomy defect.
On this page
CMS RVU26D · Effective 2026-10-01
22853 Interbody device Medicare reimbursement rates in New Jersey
Reports placement of a biomechanical device in an intervertebral disc space during fusion, counted once for each treated interspace. Compare 22853 office and facility rates across CMS payment localities in New Jersey.
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 22853 in New Jersey?
New Jersey 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
$242.88–$247.90
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 22853: Interbody fusion cage placement
Reports placement of a biomechanical device in an intervertebral disc space during fusion, counted once for each treated interspace.
This code represents placement of a biomechanical implant, such as a cage, into an intervertebral disc space during an interbody fusion. The device helps maintain disc-space height and support the fusion; its integral anterior instrumentation for interspace distraction is part of the service. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, commonly perform this work during cervical or lumbar fusion procedures in an operating room.
Report one unit for each interspace receiving a device, not for each implant placed within that space. The operative report should identify the treated disc spaces, device placement, and the associated interbody arthrodesis. This is an add-on code: submit it with the primary fusion procedure, not by itself. CMS pays it within the primary procedure’s global period.
CMS billing rules for 22853
- 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 RVU4.14 · 60%
- Practice expense (office) RVU1.38 · 20%
- Malpractice RVU1.33 · 19%
214.9K
Medicare services in 2024 · #370 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.
22853 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
22859 describes biomechanical device placement without interbody arthrodesis. 22853 is used when the device is placed as part of an interbody fusion.
No office rate
22845 represents anterior spinal instrumentation, while 22853 represents interbody device placement with integral anterior instrumentation for disc-space distraction.
Compare 22853 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$247.90
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$242.88
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22853 billing questions
How is 22853 distinguished from 22854?
22853 is for a biomechanical device placed in an intervertebral disc space during interbody arthrodesis. 22854 addresses device placement in a vertebral body defect, such as one created by corpectomy.
Can 22853 be reported without a fusion procedure?
No. It is an add-on code and must be billed with a primary procedure; the device placement is performed in conjunction with interbody arthrodesis.
How many units are reported when multiple cages are placed?
Count the treated interspaces. Report one unit per interspace, rather than one unit for each individual implant placed in the same space.
Does 22853 include the fusion itself?
No. It represents the biomechanical device placement. Report the applicable primary interbody fusion procedure separately.
What documentation supports 22853?
The operative report should identify each interspace treated, the device placed there, and the interbody arthrodesis performed at that level.
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.
2,12122849,,Reinsert spinal fixation,A,,18.69,12.26,NA,12.26,,5.78,36.73,36.73,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12222850,,Remove spine fixation device,A,,9.57,8.88,NA,8.88,,3.01,21.46,21.46,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12322852,,Remove spine fixation device,A,,9.14,8.73,NA,8.73,,2.85,20.72,20.72,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12422853,,Insj biomechanical device,A,,4.14,1.38,NA,1.38,,1.33,6.85,6.85,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12522854,,Insj biomechanical device,A,,5.36,1.80,NA,1.80,,1.84,9.00,9.00,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12622855,,Removal anterior instrmj,A,,15.46,11.10,NA,11.10,,4.90,31.46,31.46,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,12722856,,Tot disc arthrp 1ntrspc crv,A,,23.45,14.72,NA,14.72,,7.40,45.57,45.57,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00