No office rate
Both describe kyphectomy, but 22818 is for one or two segments; 22819 requires three or more.
On this page
CMS RVU26D · Effective 2026-10-01
22819 Kyphectomy Medicare reimbursement rates in Vermont
Reports kyphectomy involving resection across three or more vertebral segments during surgical correction of a kyphotic spinal deformity. Compare 22819 office and facility rates across CMS payment localities in Vermont.
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 22819 in Vermont?
Vermont 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
$2060.36
1 of 1 localities have a supported rate.
Payment area: Vermont
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 22819: Kyphectomy, three or more segments
Reports kyphectomy involving resection across three or more vertebral segments during surgical correction of a kyphotic spinal deformity.
A kyphectomy removes vertebral portions within a kyphotic spinal deformity as part of surgical correction. CPT 22819 represents resection involving three or more vertebral segments. Orthopedic or neurosurgical spine surgeons typically perform the procedure in an operating room for a severe, fixed deformity. The operative report should describe the resection and identify its extent; fusion levels or instrumentation levels alone do not establish the segment count for this code.
Report this code when the documented kyphectomy meets the three-or-more-segment threshold, rather than the one- or two-segment threshold represented by 22818. The 90-day global period 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate because the descriptor and anatomy do not represent paired bilateral work. CMS permits payment for an assistant at surgery, co-surgeons, and team surgery.
CMS billing rules for 22819
- 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 permitted.
Where the value comes from
- Work RVU38.40 · 58%
- Practice expense (office) RVU19.34 · 29%
- Malpractice RVU8.18 · 12%
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.
22819 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
22800 describes posterior arthrodesis for spinal deformity by fusion extent. It is not the kyphectomy resection code.
No office rate
22802 describes posterior deformity arthrodesis across its specified fusion-level range; 22819 is selected by the extent of kyphectomy resection.
No office rate
22804 is a posterior deformity arthrodesis code selected by fusion extent, not by the number of segments resected during kyphectomy.
Compare 22819 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
Vermont →
Office / nonfacility
Unavailable
Facility
$2060.36
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 22819 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,107
- Code
- 22819
- Physician work
- 38.40
- Practice expense
- 19.34
- Malpractice
- 8.18
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.40 | × 1.000 | 38.4000 |
| Practice expense | 19.34 | × 0.990 | 19.1466 |
| Malpractice | 8.18 | × 0.506 | 4.1391 |
| Total RVUs | 61.6857 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$2060.36
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 38.4 | 1 |
| Practice expense | 19.34 | 0.99 |
| Malpractice | 8.18 | 0.506 |
(38.4 × 1 + 19.34 × 0.99 + 8.18 × 0.506) × $33.4009 = $2060.36
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.
22819 billing questions
How do I distinguish 22819 from 22818?
Use 22819 when the kyphectomy resects across three or more vertebral segments. Code 22818 is for resection across one or two segments.
Should I count fusion levels or instrumentation levels?
No. The threshold is based on the extent of the kyphectomy resection, as documented in the operative report—not the number of fused or instrumented levels.
Can a spinal arthrodesis be reported with 22819?
A separately performed posterior arthrodesis may be reported with the kyphectomy when the operative documentation supports both services. The multiple-procedure reduction may affect payment when procedures are performed in the same session.
Does modifier 50 belong on this code?
No. Modifier 50 is inappropriate for this descriptor and anatomy; the code represents the resection extent, not paired bilateral work.
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 or co-surgeon be paid?
CMS permits payment for an assistant at surgery and permits co-surgeons and team surgery for this service.
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.
2,10422810,,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
2,10722819,,Kyphectomy 3 or more,A,,38.40,19.34,NA,19.34,,8.18,65.92,65.92,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10822830,,Exploration of spinal fusion,A,,10.94,9.42,NA,9.42,,3.34,23.70,23.70,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,10922836,,Ant thrc vrt body tethrg <7,A,,31.20,16.33,NA,16.33,,6.64,54.17,54.17,0,090,0.10,0.69,0.21,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,11022837,,Ant thrc vrt body tethrg 8+,A,,34.61,11.46,NA,11.46,,3.69,49.76,49.76,0,090,0.10,0.69,0.21,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817