No office rate
Both describe anterior fusion for spinal deformity; 22808 is for two to three vertebral segments, while 22810 is for four to seven.
On this page
CMS RVU26D · Effective 2026-10-01
22810 Anterior fusion Medicare reimbursement rates in Virginia
Anterior spinal fusion for deformity spanning four to seven vertebral segments, reported when the surgeon corrects a structural spinal deformity through an anterior approach. Compare 22810 office and facility rates across CMS payment localities in Virginia.
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 22810 in Virginia?
Virginia 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
$1722.27–$1974.24
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.
Spinal surgery
About 22810: Anterior deformity fusion, four to seven segments
Anterior spinal fusion for deformity spanning four to seven vertebral segments, reported when the surgeon corrects a structural spinal deformity through an anterior approach.
This service is an anterior spinal fusion performed to correct a deformity across four through seven vertebral segments. The surgeon approaches the spine from the front and joins the documented levels. Typical cases include correction of scoliosis or another structural deformity when an anterior fusion is selected. Orthopedic spine surgeons and neurosurgeons generally perform it in an operating room, usually in a hospital facility.
Choose the code by the anterior approach and the number of vertebral segments fused, not by the number of disc spaces alone. The operative report should support the deformity indication, approach, individual fused levels, and total span. Separate instrumentation coding may be appropriate when fixation is placed; select it for the instrumented span and follow CPT instructions. CMS assigns a 90-day global period: the day-before preoperative visit and related postoperative care through day 90 are included. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22810
- 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 RVU30.71 · 57%
- Practice expense (office) RVU16.51 · 31%
- Malpractice RVU6.55 · 12%
61
Medicare services in 2024 · #5226 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.
22810 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
This is the longer-span anterior deformity fusion code, for eight or more vertebral segments.
No office rate
22800 describes posterior deformity fusion for up to six vertebral segments. Choose by the operative approach, not by segment count alone.
No office rate
22846 reports anterior spinal instrumentation across four to seven segments; 22810 reports the deformity fusion itself.
Compare 22810 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1974.24
Virginia →
Office / nonfacility
Unavailable
Facility
$1722.27
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.
22810 billing questions
How is the four-to-seven segment range determined?
Count the vertebral segments included in the anterior fusion, using the operative report’s documented levels. Do not select the code solely by counting disc spaces.
When is 22810 chosen instead of 22808 or 22812?
Use 22810 for an anterior deformity fusion spanning four to seven vertebral segments. The neighboring anterior codes represent shorter or longer spans.
Can anterior instrumentation be reported with this fusion?
When fixation is placed, separate instrumentation coding may be appropriate. Code 22846 corresponds to anterior instrumentation spanning four to seven vertebral segments; confirm the documented instrumented span and CPT instructions.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
How are assistants and co-surgeons handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and 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.
2,10122802,,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
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