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See a sample rate comparisonCPT 22210 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.
Incis 1 Vertebral Seg Cerv, Incision Of Spinal Column (Single Column Osteotomy) In 1 Vertebral Segment Of Neck (Cervical Spine) To Correct Deformity
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22210 |
| Medicaid Fee Schedule | View Medicaid rates for 22210 |
National average reimbursement for CPT 22210 by major payers:
$2,095.35
$2,403.63
$2,541.40
$2,879.95
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CPT 22210
5 of 25 sample ratesHigher to lower in this preview
Denton Regional Ambulatory Surgery Center, L.P., Medical City Surgery Center/Denton
Denton Regional Ambulatory Surgery Center Lp
$7,968.00Published rateOnyx & Pearl Surgical Suites LLC
Onyx & Pearl Surgical Suites, LLC
$6,492.00Published rateVirginia Eye Institute Inc, Virginia Eye Institute Surgery Pavilion
Virginia Eye Institute Inc
$4,365.00Published rateBalboa Nephrology Medical Group,Inc., San Diego Access And Surgery Center
Balboa Nephrology Medical Group, Inc.
$3,000.00Published rateOak Tree Surgery Center, LLC
Oak Tree Surgery Center, Ll, LLC
$926.00Published rate
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See a sample payer proposalCPT 22210 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22210 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 22210 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 |
|---|---|---|
| 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 |
| 22212-CPT | High | Incis 1 Vertebral Seg Thorac, Incision Of Spinal Column (Single Column Osteotomy) In 1 Vertebral Segment Of Upper Back (Thoracic Spine) To Correct Deformity |
| 22214-CPT | High | Incis 1 Vertebral Seg Lumbar, Incision Of Spinal Column (Single Column Osteotomy) In 1 Vertebral Segment Of Upper Back (Lumbar Spine) To Correct Deformity |
| 22216-CPT | Moderate | Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approachone Vertebral Segment Each Additional Vertebral Segment (List Separately In Addition To Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22210 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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