No office rate
22612 reports the initial lumbar level fused with a posterior or posterolateral technique. Use 22614 only for each additional vertebral segment in the same construct.
On this page
CMS RVU26D · Effective 2026-10-01
22612 Spinal fusion Medicare reimbursement rates in Oklahoma
Reports a single-level lumbar fusion using a posterior or posterolateral approach when the surgeon joins the vertebrae without a posterior interbody fusion technique. Compare 22612 office and facility rates across CMS payment localities in Oklahoma.
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 22612 in Oklahoma?
Oklahoma 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
$1366.93
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Spine surgery
About 22612: Posterior lumbar spinal fusion
Reports a single-level lumbar fusion using a posterior or posterolateral approach when the surgeon joins the vertebrae without a posterior interbody fusion technique.
A spine surgeon performs this operation to fuse one lumbar level through a posterior or posterolateral approach. The surgeon prepares the fusion surfaces and places bone graft to promote union; the procedure may be performed for conditions such as lumbar instability or degenerative disease when fusion is part of the treatment plan. It is commonly performed in a hospital operating room. The approach and fusion technique distinguish this service from lumbar procedures that include an interbody fusion.
Report one unit for the single level treated, with the operative report supporting the lumbar level and posterior or posterolateral fusion technique. For each additional vertebral segment fused with this technique, 22614 may be reported as an add-on. Medicare applies a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be available, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 22612
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.94 · 52%
- Practice expense (office) RVU14.38 · 33%
- Malpractice RVU6.62 · 15%
69.7K
Medicare services in 2024 · #673 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.
22612 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
22630 describes a posterior lumbar interbody fusion. Choose 22612 when the documented fusion uses a posterior or posterolateral approach without that interbody technique.
No office rate
22633 is for a lumbar fusion combining posterior or posterolateral fusion with a posterior interbody fusion at the level. 22612 represents the posterior or posterolateral fusion alone.
Compare 22612 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$1366.93
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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 22612 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
2,094
- Code
- 22612
- Physician work
- 22.94
- Practice expense
- 14.38
- Malpractice
- 6.62
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.94 | × 1.000 | 22.9400 |
| Practice expense | 14.38 | × 0.893 | 12.8413 |
| Malpractice | 6.62 | × 0.777 | 5.1437 |
| Total RVUs | 40.9251 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$1366.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.94 | 1 |
| Practice expense | 14.38 | 0.893 |
| Malpractice | 6.62 | 0.777 |
(22.94 × 1 + 14.38 × 0.893 + 6.62 × 0.777) × $33.4009 = $1366.93
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.
22612 billing questions
When should 22612 be chosen instead of 22630?
Use 22612 for a single-level posterior or posterolateral lumbar fusion that does not include a posterior interbody fusion technique. Code 22630 describes a posterior interbody fusion.
How are additional lumbar fusion levels reported?
Report 22612 for the initial level and 22614 for each additional vertebral segment fused using the same posterior or posterolateral technique. The operative report should identify the levels treated.
Can 22612 be billed with lumbar instrumentation or bone graft services?
Those services may be separately reportable when performed and supported by the documentation; 22612 represents the fusion procedure itself. Check the applicable code and documentation rules for each additional service.
Should modifier 50 be appended for a bilateral lumbar fusion?
No. The CMS bilateral adjustment does not apply to 22612, and modifier 50 is inappropriate for this code.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.
Are assistant surgeons or co-surgeons allowed for 22612?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. 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 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.
2,09122595,,Arthrd pst tq atlas-axis,A,,20.12,17.09,NA,17.09,,7.67,44.88,44.88,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09222600,,Arthrd pst tq 1ntrspc crv,A,,16.97,15.37,NA,15.37,,6.07,38.41,38.41,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09322610,,Arthrd pst tq 1ntrspc thrc,A,,16.85,14.96,NA,14.96,,5.78,37.59,37.59,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,09422612,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193