CPT 22634

Across 8,884 services billed by 381 providers to 6,467 beneficiaries, Medicare allowed an average of $335.52 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

• 22614Fusion of additional segment of spine$284.08
• 22612Fusion of spine in lower back$1477.10
• 22633Fusion of spine in lower back$1195.61
• 22600Fusion of spine in neck by posterior approach$850.43
• 22630Fusion of lower spine bone and partial removal of spine bone or disc t$1109.53
• 22610Fusion of spine in upper back$673.40

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

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