{
    "code": "22551",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/22551/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/22551/2016/A",
    "description": "Neck surgery approached from the front of the throat, in which a worn or herniated disc is removed to take pressure off the spinal cord and nerve roots, bone spurs are cleared away, and the emptied disc space is packed with graft so the two vertebrae grow together into one solid unit. The decompression and the fusion are bundled into this single code rather than reported as separate steps. This one covers a single disc space anywhere below the second cervical vertebra; each further level treated in the same operation is reported in addition.",
    "answer": {
        "question": "How much did Medicare pay for CPT 22551 in Q1 2016?",
        "text": "Medicare paid $1,790.22 for CPT 22551 in the office (non-facility) setting and $1,790.22 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.8% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "A",
        "label": "Q1 2016",
        "effective": "January 1 – March 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1790.22,
        "facility": 1790.22,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 25,
        "practice_expense_non_facility": 16.8,
        "practice_expense_facility": 16.8,
        "malpractice": 8.2
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q1 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/A",
        "file": "PPRRVU16_V0122.csv",
        "row": 5723,
        "sha256": "e7973024293c4f8bd19119f0479a6b7bdc36435376c6b05a22fd3cd3cec5b13c"
    },
    "modified_at": "2026-08-04T03:06:29+00:00"
}