# CPT 22612

> The national PFS baseline was $1,663.72 for CPT 22612 in the office (non-facility) setting and $1,663.72 in a facility under the Q4 2015 Physician Fee Schedule, effective October 2015. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, both settings' amount is $1,324.94–$2,111.48. This is a 0.5% increase from the previous quarter.

## What it is

Lumbar or Lumbosacral Posterolateral Fusion

## Selected release

- Release: Q4 2015 (2015 D)
- Effective: October 1 – December 31, 2015
- Status indicator: A
- Office (non-facility) national allowed amount: $1663.72
- Facility national allowed amount: $1663.72
- Sequestration: not applied

## RVUs and formula

- Work RVU: 23.53
- Office (non-facility) practice expense RVU: 16.19
- Facility practice expense RVU: 16.19
- Malpractice RVU: 6.58
- Conversion factor: 35.9335
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2015)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15d.zip
- Parsed file: PPRRVU15_OCT05_V1001.csv, row 5,567
- Canonical page: https://localishealth.com/cpt/22612/2015/D
- Release-specific citation URL: https://localishealth.com/cpt/22612/2015/D
- Last significant update: 2026-08-13T15:11:57+00:00