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See a sample rate comparisonCPT 22206 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approach Three Columns One Vertebral Segment (E.G. Pediclevertebral Body Subtraction) Thoracic
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22206 |
| Medicaid Fee Schedule | View Medicaid rates for 22206 |
National average reimbursement for CPT 22206 by major payers:
$3,099.23
$3,258.87
$3,471.77
$3,920.73
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CPT 22206
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$8,087.00Published rateOlympia Orthopaedic Associates PLLC, Olympia Surgery Center LLC
Olympia Orthopaedic Associates, PLLC
$6,342.00Published rateSpringfield Surgery Center, LLC
Springfield Surgery Center LLC
$4,120.00Published rateAdvanced Surgical Care East LLC
$2,245.00Published rateArizona Surgical Arts, Inc.
Arizona Surgical Arts Inc
$822.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 22206 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22206 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 22206 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 22206-CPT | High | Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approach Three Columns One Vertebral Segment (E.G. Pediclevertebral Body Subtraction) Thoracic |
| 22207-CPT | High | Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approach Three Columns One Vertebral Segment (E.G. Pediclevertebral Body Subtraction) Lumbar |
| 22208-CPT | Moderate | Incis Spine 3 Column Adl Seg, Osteotomy Of Spine Posterior Or Posterolateral Approach 3 Columns 1 Vertebral Segment Eg Pedicle Vertebral Body Subtraction Each Additional Vertebral Segment List Separately In Addition To Code For Primary Procedure |
| 22210-CPT | High | Incis 1 Vertebral Seg Cerv, Incision Of Spinal Column (Single Column Osteotomy) In 1 Vertebral Segment Of Neck (Cervical Spine) To Correct Deformity |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22206. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22206 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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