22207
Incis spine 3 column lumbar
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary22207Incis spine 3 column lumbar
1
$2,214.48
$2,214.48
Whole procedure · 35.76 wRVU credited
$2,214.48
$2,214.48
How these numbers were computed
- status=BThis code is not separately payable under the Physician Fee Schedule (status B) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
35.76
35.76
Practice expense
19.61
19.61
Malpractice
10.93
10.93
Total RVU
66.30
66.30
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split