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See a sample rate comparisonCPT 22214 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 Lumbar, Incision Of Spinal Column (Single Column Osteotomy) In 1 Vertebral Segment Of Upper Back (Lumbar 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 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22214 |
| Medicaid Fee Schedule | View Medicaid rates for 22214 |
National average reimbursement for CPT 22214 by major payers:
$1,916.02
$2,013.08
$2,233.93
$2,438.31
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CPT 22214
5 of 25 sample ratesHigher to lower in this preview
Advanced Center For Surgery, The Advanced Center For Surgery
Advanced Center For Surgery
$7,888.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$6,365.00Published rateMission Surgery Center LLC
$3,275.00Published rateGreeley Endoscopy Center, LLC, Northern Colorado Endoscopy Center
Greeley Endoscopy Center LLC
$2,365.00Published rateHermitage Endoscopy Center Inc
$1,074.00Published rate
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See a sample payer proposalCPT 22214 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22214 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 22214 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 22214. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22214 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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