Billing code 22110: Vertebral lesion excisionMedicare rate & RVUs in Ohio
Reports removal of an intrinsic cervical vertebral bone lesion when the operation also decompresses the spinal cord or a nerve root.
CMS doesn’t publish an office rate for 22110 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 22110 covers
22110 describes excision of an intrinsic bony lesion from a cervical vertebral body together with decompression of the spinal cord or a nerve root. The procedure is typically performed by a spine surgeon or neurosurgeon in an operating room when the lesion and required neural decompression are addressed during the operation. The code distinguishes this service from cervical lesion excision without cord or nerve-root decompression.
Select the code from the operative report: it should identify the cervical vertebral site, the intrinsic bony lesion removed, and the spinal cord or nerve-root decompression performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
22110 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $984.03 |
How the 22110 rate is calculated
Each of 22110’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 22110
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.65Practice expense 12.46Malpractice 4.40
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 22110
22110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22110
Vertebral lesion excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 22110
Vertebral lesion excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
22110 without 51 · national facility
$1,019.06
Vertebral lesion excision
22110-51 · Second procedure: 50%
$509.53
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
22110 compared with similar codes
Compare codes
22110 vs 22100 vs 22112 vs 22114 vs 22116: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 22100Vertebral lesion excision
- Use 22100 for an intrinsic cervical vertebral lesion excised without spinal cord or nerve-root decompression. 22110 applies when the operation includes that decompression.
- 22112Vertebral excision
- 22112 is for the thoracic region with decompression; 22110 is for the cervical region.
- 22114Spinal lesion excision
- 22114 is for the lumbar region with decompression; 22110 is for the cervical region.
- 22116Vertebral excision
- 22116 represents an additional vertebral segment in this decompression family, rather than the primary cervical segment service reported with 22110.
22110 billing questions
How is 22110 different from 22100?
Both concern an intrinsic bony lesion in the cervical vertebral body. Use 22110 when the operation includes spinal cord or nerve-root decompression; 22100 is for excision without that decompression.
What documentation supports reporting 22110?
The operative report should describe the cervical vertebral lesion and its excision, and identify the spinal cord or nerve-root decompression performed.
Can 22116 be reported with 22110?
22116 is the additional-segment code in the decompression family and may be reported for an additional vertebral segment when its requirements are met. The operative documentation should establish the additional segment treated.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code based on its descriptor or anatomy.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
Which postoperative care is included in the global period?
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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