PFS ExplorerMedicare Physician Fee Schedule · 2026

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22222

Osteot dsc ant 1vrt sgm thrc

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary22222Osteot dsc ant 1vrt sgm thrc
1
$1,774.26
$1,774.26
Add-on22226Osteot dsc ant 1vrt sgm ea
0
$319.65/ unit
$319.65/ unit
Add-on22840Insert spine fixation device
0
$668.35/ unit
$668.35/ unit
Add-on22841Insert spine fixation device
0
$0.00/ unit
$0.00/ unit
Add-on22842Insert spine fixation device
0
$680.04/ unit
$680.04/ unit
Add-on22843Insert spine fixation device
0
$728.47/ unit
$728.47/ unit
Add-on22844Insert spine fixation device
0
$875.10/ unit
$875.10/ unit
Add-on22845Insert spine fixation device
0
$647.64/ unit
$647.64/ unit
Add-on22846Insert spine fixation device
0
$673.36/ unit
$673.36/ unit
Add-on22847Insert spine fixation device
0
$687.39/ unit
$687.39/ unit
Add-on22848Insert pelv fixation device
0
$317.64/ unit
$317.64/ unit
Add-on22853Insj biomechanical device
0
$228.80/ unit
$228.80/ unit
Add-on22854Insj biomechanical device
0
$300.61/ unit
$300.61/ unit
Add-on22859Insj biomechanical device
0
$300.27/ unit
$300.27/ unit
Whole procedure · 22.51 wRVU credited
$1,774.26
$1,774.26
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
22.51
22.51
Practice expense
21.11
21.11
Malpractice
9.50
9.50
Total RVU
53.12
53.12

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

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 10% is attributed to pre-operative care, 69% to the procedure itself, and 21% to post-operative visits.