Billing code 22206: Spinal osteotomyMedicare rate & RVUs in Ohio
Reports a three-column osteotomy at one thoracic vertebral segment, typically performed to correct a rigid spinal deformity during complex reconstruction.
CMS doesn’t publish an office rate for 22206 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 22206 covers
Code 22206 represents a thoracic three-column osteotomy at one vertebral segment, a major deformity-correction procedure that removes bone across the vertebra to allow spinal realignment. Examples include a pedicle subtraction osteotomy or vertebral column resection for rigid kyphosis or scoliosis. A spine surgeon typically performs the procedure in an operating room as part of complex reconstruction. The operative report should establish the thoracic location and the three-column extent of the osteotomy.
Report one segment with this code; document the level, deformity, and work performed, and identify additional segments when present. The 90-day global includes 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 the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require 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.
22206 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $2,229.98 |
How the 22206 rate is calculated
Each of 22206’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 · 22206
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 36.25Practice expense 20.14Malpractice 12.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 22206
22206 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22206
Spinal osteotomy
| 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 · 22206
Spinal osteotomy
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
22206 without 51 · national facility
$2,285.29
Spinal osteotomy
22206-51 · Second procedure: 50%
$1,142.65
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%).
22206 compared with similar codes
Compare codes
22206 vs 22207 vs 22208 vs 22212: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 22207Spinal osteotomy
- Use 22207 when the three-column osteotomy is at a lumbar segment; 22206 identifies a thoracic segment.
- 22208Spinal osteotomy
- 22206 reports the initial thoracic segment. 22208 reports each additional segment in the three-column osteotomy.
- 22212Spinal osteotomy
- 22212 is for a thoracic osteotomy that does not meet the three-column scope; 22206 requires three-column work at one thoracic segment.
22206 billing questions
How does 22206 differ from 22207?
Both describe a three-column osteotomy at one vertebral segment. Choose 22206 for a thoracic segment and 22207 for a lumbar segment.
When is 22208 reported with 22206?
22208 is the add-on code for each additional vertebral segment when the three-column osteotomy extends beyond the initial segment. Document the additional level or levels treated.
How is 22206 distinguished from 22212?
22206 is for a thoracic three-column osteotomy. 22212 describes a thoracic osteotomy at one segment that does not meet the three-column code’s scope.
Can modifier 50 be used for 22206?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; 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 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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