No office rate
22630 reports posterior interbody fusion at the first lumbar interspace. 22632 is the add-on for each additional interspace and is reported with 22630.
On this page
CMS RVU26D · Effective 2026-10-01
22632 Lumbar fusion Medicare reimbursement rates in Ohio
Reports each additional lumbar interspace fused using a posterior interbody technique during a multilevel lumbar fusion, beyond the first interspace. Compare 22632 office and facility rates across CMS payment localities in Ohio.
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 22632 in Ohio?
Ohio has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$283.03
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
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.
Spinal surgery
About 22632: Additional lumbar posterior interbody fusion level
Reports each additional lumbar interspace fused using a posterior interbody technique during a multilevel lumbar fusion, beyond the first interspace.
This add-on represents fusion at an additional lumbar disc space using a posterior interbody approach, such as a multilevel posterior lumbar interbody fusion or transforaminal lumbar interbody fusion. Spine surgeons, including orthopedic surgeons and neurosurgeons, perform these procedures in the operating room. The additional level must receive the interbody fusion technique; simply extending a posterolateral fusion to another vertebral segment is a different service.
Report one unit for each additional lumbar interspace beyond the first, with the primary posterior interbody fusion code 22630. The operative report should identify the treated interspaces and document posterior interbody arthrodesis at each additional level. CMS classifies 22632 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 22632
- 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 RVU5.09 · 59%
- Practice expense (office) RVU1.73 · 20%
- Malpractice RVU1.79 · 21%
1.9K
Medicare services in 2024 · #2504 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.
22632 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
22634 reports each additional lumbar interspace treated with the combined technique represented by 22633. 22632 is for additional interspaces with the posterior interbody technique represented by 22630.
No office rate
22614 counts additional vertebral segments for posterior or posterolateral fusion. 22632 counts additional lumbar interspaces fused using a posterior interbody technique.
No office rate
22633 is the primary code for the combined posterior or posterolateral and interbody technique at the first lumbar interspace. It is not the add-on code for additional posterior interbody-only levels.
Compare 22632 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.
1 of 1 payment localities
Ohio →
Office / nonfacility
Unavailable
Facility
$283.03
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 22632 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,097
- Code
- 22632
- Physician work
- 5.09
- Practice expense
- 1.73
- Malpractice
- 1.79
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.09 | × 1.000 | 5.0900 |
| Practice expense | 1.73 | × 0.913 | 1.5795 |
| Malpractice | 1.79 | × 1.008 | 1.8043 |
| Total RVUs | 8.4738 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$283.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.09 | 1 |
| Practice expense | 1.73 | 0.913 |
| Malpractice | 1.79 | 1.008 |
(5.09 × 1 + 1.73 × 0.913 + 1.79 × 1.008) × $33.4009 = $283.03
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
22632 billing questions
Which primary code must accompany 22632?
Report 22632 with 22630, which represents the first lumbar interspace fused using the posterior interbody technique. Code 22632 accounts for each additional interspace treated with that technique.
How is 22632 different from 22614?
22632 is for each additional lumbar interspace fused with a posterior interbody technique. 22614 is for each additional vertebral segment fused using a posterior or posterolateral technique.
When is 22634 used instead?
Use 22634 for each additional lumbar interspace when the surgeon performs the combined posterior or posterolateral and interbody fusion technique represented by 22633. Use 22632 for additional interspaces in a posterior interbody fusion reported with 22630.
What documentation supports an additional unit?
The operative report should identify each additional lumbar interspace and describe the posterior interbody fusion performed there. The service must be at an additional interspace, not merely another vertebral segment.
How does the add-on status affect payment?
22632 is billed only with its primary procedure, 22630, and CMS pays it within the primary procedure’s global period.
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.
2,09422612,,Arthrd pst tq 1ntrspc lumbar,A,,22.94,14.38,NA,14.38,,6.62,43.94,43.94,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09522614,,Arthrd pst tq 1ntrspc ea add,A,,6.27,2.11,NA,2.11,,2.08,10.46,10.46,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09622630,,Arthrd pst tq 1ntrspc lum,A,,21.54,15.81,NA,15.81,,7.88,45.23,45.23,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09722632,,Arthrd pst tq 1ntrspc lm ea,A,,5.09,1.73,NA,1.73,,1.79,8.61,8.61,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09822633,,Arthrd cmbn 1ntrspc lumbar,A,,26.13,16.31,NA,16.31,,8.46,50.90,50.90,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09922634,,Arthrd cmbn 1ntrspc ea addl,A,,7.76,2.61,NA,2.61,,2.58,12.95,12.95,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10022800,,Arthrd pst dfrm<6 vrt sgm,A,,19.01,14.54,NA,14.54,,5.76,39.31,39.31,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703