No office rate
Choose 22101 for excision from a posterior vertebral component, such as the lamina or facet. Choose 22112 when the excised bone is part of the thoracic vertebral body.
On this page
CMS RVU26D · Effective 2026-10-01
22112 Vertebral excision Medicare reimbursement rates in Wyoming
Reports partial removal of a thoracic vertebral body to treat an intrinsic bone lesion when the procedure does not decompress spinal cord or nerve roots. Compare 22112 office and facility rates across CMS payment localities in Wyoming.
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 22112 in Wyoming?
Wyoming 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
$1120.93
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 22112: Partial thoracic vertebral body excision
Reports partial removal of a thoracic vertebral body to treat an intrinsic bone lesion when the procedure does not decompress spinal cord or nerve roots.
This code describes partial excision of a thoracic vertebral body to remove an intrinsic bony lesion, such as a lesion involving the vertebral body itself. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, typically perform the operation in a hospital or other surgical setting. The defining distinction is removal of vertebral body bone without decompression of the spinal cord or nerve roots as part of the service.
Report the code when the operative record identifies the thoracic level, the intrinsic bone lesion, and the partial vertebral body removal. It has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur 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. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 22112
- 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 RVU13.72 · 39%
- Practice expense (office) RVU15.57 · 44%
- Malpractice RVU5.77 · 16%
23
Medicare services in 2024 · #5833 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.
22112 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
22110 describes the corresponding partial vertebral body excision for an intrinsic lesion at a cervical level; 22112 is for a thoracic level.
No office rate
22114 describes the corresponding partial vertebral body excision for an intrinsic lesion at a lumbar level; 22112 is for a thoracic level.
No office rate
22116 represents an additional vertebral segment when the qualifying excision extends to another segment; it is not the primary single-segment code.
Compare 22112 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1120.93
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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 22112 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,048
- Code
- 22112
- Physician work
- 13.72
- Practice expense
- 15.57
- Malpractice
- 5.77
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.72 | × 1.000 | 13.7200 |
| Practice expense | 15.57 | × 1.000 | 15.5700 |
| Malpractice | 5.77 | × 0.740 | 4.2698 |
| Total RVUs | 33.5598 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1120.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.72 | 1 |
| Practice expense | 15.57 | 1 |
| Malpractice | 5.77 | 0.74 |
(13.72 × 1 + 15.57 × 1 + 5.77 × 0.74) × $33.4009 = $1120.93
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.
22112 billing questions
How is this code different from 22101?
22112 describes partial removal of the thoracic vertebral body. 22101 describes excision of a lesion from a posterior vertebral component, such as the lamina or facet.
Can this code be used when spinal cord or nerve root decompression is performed?
This code describes vertebral body excision without decompression of the spinal cord or nerve roots. Confirm that the documented service matches that distinction before selecting it.
When is 22116 reported with this code?
22116 is the additional-segment code for qualifying vertebral body excision at another vertebral segment. The operative documentation should identify each segment treated.
Does modifier 50 apply to a bilateral thoracic procedure?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included in the global period?
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 reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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.
2,04522102,,Remove part lumbar vertebra,A,,10.80,8.47,NA,8.47,,1.75,21.02,21.02,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04622103,,Remove extra spine segment,A,,2.28,0.69,NA,0.69,,0.50,3.47,3.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04722110,,Remove part of neck vertebra,A,,13.65,12.46,NA,12.46,,4.40,30.51,30.51,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04822112,,Remove part thorax vertebra,A,,13.72,15.57,NA,15.57,,5.77,35.06,35.06,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,04922114,,Remove part lumbar vertebra,A,,13.72,15.57,NA,15.57,,5.77,35.06,35.06,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05022116,,Remove extra spine segment,A,,2.26,0.75,NA,0.75,,0.76,3.77,3.77,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,05122206,,Incis spine 3 column thorac,A,,36.25,20.14,NA,20.14,,12.03,68.42,68.42,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,