No office rate
Both describe anterior deformity fusion; 22810 is for four to seven vertebral segments, rather than two or three.
On this page
CMS RVU26D · Effective 2026-10-01
22808 Anterior fusion Medicare reimbursement rates in Pennsylvania
Anterior fusion for spinal deformity involving two or three vertebral segments, such as a surgical correction of a structural spinal curve. Compare 22808 office and facility rates across CMS payment localities in Pennsylvania.
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 22808 in Pennsylvania?
Pennsylvania 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
$1691.79–$1848.99
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 22808: Anterior spinal deformity fusion, 2–3 segments
Anterior fusion for spinal deformity involving two or three vertebral segments, such as a surgical correction of a structural spinal curve.
This service surgically joins two or three vertebral segments through an anterior approach as part of correcting a spinal deformity. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, may perform it for conditions such as scoliosis when an anterior fusion is part of the operative plan. It is generally performed in a hospital operating room rather than an office setting.
Select this code when the operative report supports an anterior deformity fusion and documents two or three segments included in the arthrodesis. Do not select it based only on the number of vertebrae exposed or on instrumentation placed; the fusion approach, deformity indication, and segments fused should be clear. The service has a 90-day global period, including 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 other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22808
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU26.82 · 51%
- Practice expense (office) RVU17.22 · 33%
- Malpractice RVU8.49 · 16%
94
Medicare services in 2024 · #4925 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.
22808 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Choose 22812 for anterior deformity fusion involving eight or more vertebral segments.
No office rate
This code describes posterior deformity fusion for six or fewer segments. The approach, not just the segment count, distinguishes it from 22808.
No office rate
22845 describes anterior instrumentation for two to three segments, not the arthrodesis itself; it may accompany the fusion when fixation is performed.
Compare 22808 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1848.99
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1691.79
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22808 billing questions
How is this code distinguished from the larger anterior deformity fusion codes?
Use this code for two or three fused vertebral segments. The related anterior codes 22810 and 22812 describe larger segment counts.
Can this be reported with anterior instrumentation?
Anterior instrumentation may be separately reportable when performed; for two or three segments, 22845 is the related instrumentation code. Document the fixation work separately in the operative report.
Should modifier 50 be appended for a bilateral spinal procedure?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
2,10022800,,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
2,10122802,,Arthrd pst dfrm 7-12 vrt sgm,A,,31.31,17.86,NA,17.86,,8.80,57.97,57.97,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10222804,,Arthrd pst dfrm 13+ vrt sgm,A,,36.56,19.62,NA,19.62,,10.36,66.54,66.54,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10322808,,Arthrd ant dfrm 2-3 vrt sgm,A,,26.82,17.22,NA,17.22,,8.49,52.53,52.53,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10422810,,Arthrd ant dfrm 4-7 vrt sgm,A,,30.71,16.51,NA,16.51,,6.55,53.77,53.77,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10522812,,Arthrd ant dfrm 8+ vrt sgm,A,,33.39,18.50,NA,18.50,,7.12,59.01,59.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10622818,,Kyphectomy 1-2 segments,A,,33.47,16.63,NA,16.63,,7.14,57.24,57.24,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00