# CPT 22633: Arthrodesis Combined Tq 1ntrspc Lumbar

Medicare CPT 22633 pays $1,700.11 in a non-facility setting and $1,700.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,481.69 in Wisconsin to $2,045.02 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/22633-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurological Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,700.11 |
| National facility | $1,700.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,045.02 | $2,045.02 |
| Florida | $1,969.42 | $1,969.42 |
| Illinois | $1,942.20 | $1,942.20 |
| New York | $1,906.06 | $1,906.06 |
| District of Columbia | $1,876.13 | $1,876.13 |
| New Jersey | $1,837.01 | $1,837.01 |
| Connecticut | $1,818.85 | $1,818.85 |
| Michigan | $1,782.02 | $1,782.02 |
| Maryland | $1,756.51 | $1,756.51 |
| West Virginia | $1,750.53 | $1,750.53 |
| Massachusetts | $1,748.04 | $1,748.04 |
| Washington | $1,744.25 | $1,744.25 |
| Georgia | $1,731.88 | $1,731.88 |
| Pennsylvania | $1,716.29 | $1,716.29 |
| New Mexico | $1,711.69 | $1,711.69 |
| Rhode Island | $1,704.15 | $1,704.15 |
| California | $1,701.90 | $1,701.90 |
| Puerto Rico | $1,701.86 | $1,701.86 |
| Virgin Islands | $1,701.86 | $1,701.86 |
| Montana | $1,699.54 | $1,699.54 |
| New Hampshire | $1,687.12 | $1,687.12 |
| Colorado | $1,683.56 | $1,683.56 |
| Texas | $1,676.36 | $1,676.36 |
| Delaware | $1,669.39 | $1,669.39 |
| Louisiana | $1,665.99 | $1,665.99 |
| Oregon | $1,658.10 | $1,658.10 |
| Hawaii | $1,655.78 | $1,655.78 |
| Ohio | $1,654.97 | $1,654.97 |
| Nevada | $1,653.46 | $1,653.46 |
| Missouri | $1,650.83 | $1,650.83 |
| Arizona | $1,642.53 | $1,642.53 |
| Utah | $1,638.60 | $1,638.60 |
| Wyoming | $1,626.64 | $1,626.64 |
| South Carolina | $1,616.32 | $1,616.32 |
| Kentucky | $1,615.62 | $1,615.62 |
| Virginia | $1,607.77 | $1,607.77 |
| Oklahoma | $1,578.80 | $1,578.80 |
| Maine | $1,570.32 | $1,570.32 |
| North Carolina | $1,561.60 | $1,561.60 |
| Vermont | $1,555.07 | $1,555.07 |
| Mississippi | $1,550.63 | $1,550.63 |
| North Dakota | $1,532.26 | $1,532.26 |
| Tennessee | $1,519.70 | $1,519.70 |
| Minnesota | $1,516.97 | $1,516.97 |
| Indiana | $1,515.10 | $1,515.10 |
| South Dakota | $1,512.48 | $1,512.48 |
| Alabama | $1,509.37 | $1,509.37 |
| Kansas | $1,507.65 | $1,507.65 |
| Idaho | $1,507.61 | $1,507.61 |
| Arkansas | $1,486.25 | $1,486.25 |
| Iowa | $1,483.41 | $1,483.41 |
| Nebraska | $1,482.40 | $1,482.40 |
| Wisconsin | $1,481.69 | $1,481.69 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 22633 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules