CPT code 22510: Vertebroplasty, cervicothoracic vertebral body2026 Medicare rate & RVUs in Hawaii, Guam, HI
Percutaneous vertebroplasty stabilizes one cervical or thoracic vertebral body, typically for a painful compression fracture treated with injected bone cement.
In Hawaii, Guam, HI, Medicare pays $1,947.94 for 22510 in the office and $378.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 22510 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 22510 covers
Percutaneous vertebroplasty places a needle through the skin into one cervical or thoracic vertebral body and injects bone cement to stabilize a painful compression fracture. Interventional radiologists, neuroradiologists, or spine surgeons typically perform it with fluoroscopic or CT guidance in a hospital or outpatient procedure setting. A biopsy may be obtained through the access when clinically indicated; imaging guidance and any biopsy are included in this service.
Report 22510 for one cervicothoracic vertebral body; unilateral or bilateral injection remains one unit for that body. Report 22512 for each additional treated vertebral body, and distinguish vertebroplasty from vertebral augmentation that creates a cavity. The 10-day global period includes related postoperative visits during that period. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Hawaii, Guam, HI compares for 22510
Across 109 of 109 payment localities, the office rate for 22510 runs from $1,537.55 in Arkansas to $2,422.09 in San Benito County, CA. Hawaii, Guam, HI pays $1,947.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$1,947.94
- Los Angeles, CA · California$2,029.28+$81.34
- Washington, DC area · District of Columbia$2,042.68+$94.74
- Miami, FL · Florida$1,882.63−$65.31
- Chicago, IL · Illinois$1,822.55−$125.39
- Manhattan, NY · New York$2,040.10+$92.16
- Alaska · Alaska$1,969.81+$21.87
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,563.01 | $355.40 |
| ArkansasArkansas | $1,537.55 | $352.03 |
| ArizonaArizona | $1,712.17 | $374.83 |
| Bakersfield, CACalifornia | $1,893.83 | $381.21 |
| Chico, CACalifornia | $1,890.49 | $377.87 |
| El Centro, CACalifornia | $1,890.68 | $378.07 |
| Fresno, CACalifornia | $1,890.49 | $377.87 |
| Hanford, CACalifornia | $1,890.49 | $377.87 |
| Madera, CACalifornia | $1,890.49 | $377.87 |
| Merced, CACalifornia | $1,890.49 | $377.87 |
| Modesto, CACalifornia | $1,890.49 | $377.87 |
| Napa, CACalifornia | $2,226.98 | $407.97 |
| Oxnard, CACalifornia | $2,022.88 | $391.57 |
| Redding, CACalifornia | $1,890.49 | $377.87 |
| Rest of CaliforniaCalifornia | $1,890.49 | $377.87 |
| Riverside, CACalifornia | $1,903.03 | $390.41 |
| Sacramento, CACalifornia | $1,993.68 | $388.60 |
| Salinas, CACalifornia | $1,986.53 | $386.96 |
| San Diego, CACalifornia | $2,040.79 | $390.17 |
| Marin County, CACalifornia | $2,368.30 | $422.32 |
| San Francisco, CACalifornia | $2,366.98 | $421.00 |
| San Benito County, CACalifornia | $2,422.09 | $431.95 |
| Santa Clara County, CACalifornia | $2,416.71 | $426.57 |
| San Luis Obispo, CACalifornia | $1,953.58 | $381.62 |
| Santa Cruz, CACalifornia | $2,066.13 | $389.27 |
| Santa Maria, CACalifornia | $1,996.03 | $386.80 |
| Santa Rosa, CACalifornia | $2,087.52 | $392.72 |
| Stockton, CACalifornia | $1,890.49 | $377.87 |
| Vallejo, CACalifornia | $2,225.08 | $406.07 |
| Visalia, CACalifornia | $1,890.49 | $377.87 |
| Yuba City, CACalifornia | $1,890.49 | $377.87 |
| ColoradoColorado | $1,851.74 | $383.29 |
| ConnecticutConnecticut | $1,889.50 | $403.10 |
| DelawareDelaware | $1,743.00 | $379.43 |
| Fort Lauderdale, FLFlorida | $1,813.61 | $415.55 |
| Rest of FloridaFlorida | $1,718.16 | $398.76 |
| Atlanta, GAGeorgia | $1,795.27 | $393.06 |
| Rest of GeorgiaGeorgia | $1,612.20 | $381.13 |
| IowaIowa | $1,615.15 | $352.34 |
| IdahoIdaho | $1,625.43 | $355.72 |
| East St. Louis, ILIllinois | $1,685.14 | $415.42 |
| Rest of IllinoisIllinois | $1,657.39 | $397.34 |
| Suburban Chicago, ILIllinois | $1,834.56 | $417.17 |
| IndianaIndiana | $1,636.21 | $356.83 |
| KansasKansas | $1,603.16 | $355.52 |
| KentuckyKentucky | $1,597.07 | $370.14 |
| New Orleans, LALouisiana | $1,681.93 | $383.23 |
| Rest of LouisianaLouisiana | $1,592.87 | $371.46 |
| Metropolitan Boston, MAMassachusetts | $2,054.17 | $406.30 |
| Rest of MassachusettsMassachusetts | $1,837.25 | $383.98 |
| Baltimore area, MDMaryland | $1,883.64 | $402.77 |
| Rest of MarylandMaryland | $1,780.24 | $383.55 |
| Rest of MaineMaine | $1,631.20 | $361.49 |
| Southern Maine, MEMaine | $1,735.73 | $368.03 |
| Detroit, MIMichigan | $1,738.46 | $406.64 |
| Rest of MichiganMichigan | $1,640.58 | $380.52 |
| MinnesotaMinnesota | $1,778.51 | $358.36 |
| Metropolitan Kansas City, MOMissouri | $1,672.84 | $376.90 |
| Metropolitan St. Louis, MOMissouri | $1,692.88 | $379.00 |
| Rest of MissouriMissouri | $1,559.74 | $370.07 |
| MississippiMississippi | $1,549.17 | $360.88 |
| MontanaMontana | $1,763.16 | $383.03 |
| North CarolinaNorth Carolina | $1,650.94 | $363.28 |
| North DakotaNorth Dakota | $1,740.22 | $360.09 |
| NebraskaNebraska | $1,626.15 | $352.30 |
| New HampshireNew Hampshire | $1,818.55 | $381.84 |
| Northern New JerseyNew Jersey | $2,016.84 | $415.89 |
| Rest of New JerseyNew Jersey | $1,912.27 | $405.17 |
| New MexicoNew Mexico | $1,649.24 | $383.66 |
| NevadaNevada | $1,758.23 | $376.73 |
| NYC suburbs and Long Island, NYNew York | $2,090.22 | $449.25 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,922.34 | $411.10 |
| Queens, NYNew York | $2,063.87 | $432.56 |
| Rest of New YorkNew York | $1,678.36 | $367.24 |
| OhioOhio | $1,635.89 | $375.83 |
| OklahomaOklahoma | $1,597.59 | $365.14 |
| Portland, OROregon | $1,920.30 | $386.98 |
| Rest of OregonOregon | $1,745.86 | $371.25 |
| Metropolitan Philadelphia, PAPennsylvania | $1,835.50 | $398.79 |
| Rest of PennsylvaniaPennsylvania | $1,640.78 | $373.83 |
| Puerto RicoPuerto Rico | $1,778.79 | $383.49 |
| Rhode IslandRhode Island | $1,812.36 | $386.69 |
| South CarolinaSouth Carolina | $1,645.91 | $370.67 |
| South DakotaSouth Dakota | $1,737.51 | $357.38 |
| TennesseeTennessee | $1,611.77 | $357.24 |
| Austin, TXTexas | $1,844.43 | $384.26 |
| Beaumont, TXTexas | $1,628.43 | $372.51 |
| Brazoria, TXTexas | $1,743.56 | $375.86 |
| Dallas, TXTexas | $1,754.18 | $379.57 |
| Fort Worth, TXTexas | $1,740.01 | $379.20 |
| Galveston, TXTexas | $1,748.36 | $377.89 |
| Houston, TXTexas | $1,769.59 | $399.12 |
| Rest of TexasTexas | $1,684.64 | $374.90 |
| UtahUtah | $1,671.24 | $373.93 |
| VirginiaVirginia | $1,726.90 | $370.24 |
| Virgin Islands, VIUnited States Virgin Islands | $1,778.79 | $383.49 |
| VermontVermont | $1,729.42 | $363.10 |
| Rest of WashingtonWashington | $1,835.08 | $381.81 |
| King County, WAWashington | $2,102.08 | $408.67 |
| WisconsinWisconsin | $1,674.80 | $352.64 |
| West VirginiaWest Virginia | $1,587.72 | $388.39 |
| WyomingWyoming | $1,753.16 | $373.03 |
22510 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$1,537.55
$2,156.29
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,969.81 | 1 |
| AL | $1,563.01 | 1 |
| AR | $1,537.55 | 1 |
| AZ | $1,712.17 | 1 |
| CA | $1,890.49–$2,422.09 | 29 |
| CO | $1,851.74 | 1 |
| CT | $1,889.50 | 1 |
| DC | $2,042.68 | 1 |
| DE | $1,743.00 | 1 |
| FL | $1,718.16–$1,882.63 | 3 |
| GA | $1,612.20–$1,795.27 | 2 |
| GU | $1,947.94 | 1 |
| HI | $1,947.94 | 1 |
| IA | $1,615.15 | 1 |
| ID | $1,625.43 | 1 |
| IL | $1,657.39–$1,834.56 | 4 |
| IN | $1,636.21 | 1 |
| KS | $1,603.16 | 1 |
| KY | $1,597.07 | 1 |
| LA | $1,592.87–$1,681.93 | 2 |
| MA | $1,837.25–$2,054.17 | 2 |
| MD | $1,780.24–$2,042.68 | 3 |
| ME | $1,631.20–$1,735.73 | 2 |
| MI | $1,640.58–$1,738.46 | 2 |
| MN | $1,778.51 | 1 |
| MO | $1,559.74–$1,692.88 | 3 |
| MS | $1,549.17 | 1 |
| MT | $1,763.16 | 1 |
| NC | $1,650.94 | 1 |
| ND | $1,740.22 | 1 |
| NE | $1,626.15 | 1 |
| NH | $1,818.55 | 1 |
| NJ | $1,912.27–$2,016.84 | 2 |
| NM | $1,649.24 | 1 |
| NV | $1,758.23 | 1 |
| NY | $1,678.36–$2,090.22 | 5 |
| OH | $1,635.89 | 1 |
| OK | $1,597.59 | 1 |
| OR | $1,745.86–$1,920.30 | 2 |
| PA | $1,640.78–$1,835.50 | 2 |
| PR | $1,778.79 | 1 |
| RI | $1,812.36 | 1 |
| SC | $1,645.91 | 1 |
| SD | $1,737.51 | 1 |
| TN | $1,611.77 | 1 |
| TX | $1,628.43–$1,844.43 | 8 |
| UT | $1,671.24 | 1 |
| VA | $1,726.90–$2,042.68 | 2 |
| VI | $1,778.79 | 1 |
| VT | $1,729.42 | 1 |
| WA | $1,835.08–$2,102.08 | 2 |
| WI | $1,674.80 | 1 |
| WV | $1,587.72 | 1 |
| WY | $1,753.16 | 1 |
How the 22510 rate is calculated
Each of 22510’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 22510
RVUs × geographic indexes × conversion factor
Work7.70
7.70 RVUs× 1.000 GPCI
Practice expense43.93
43.93 RVUs× 1.000 GPCI
Malpractice1.16
1.16 RVUs× 1.000 GPCI
Adjusted RVUs
52.7900
Conversion factor
$33.4009
Medicare rate
$1,763.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,071
- Code
- 22510
- Physician work
- 7.70
- Practice expense
- 43.93
- Malpractice
- 1.16
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.70 | × 1.000 | 7.7000 |
| Practice expense | 43.93 | × 1.137 | 49.9484 |
| Malpractice | 1.16 | × 0.579 | 0.6716 |
| Total RVUs | 58.3201 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$1947.94
Office: (7.7 × 1 + 43.93 × 1.137 + 1.16 × 0.579) × $33.4009 = $1947.94
Facility: (7.7 × 1 + 2.61 × 1.137 + 1.16 × 0.579) × $33.4009 = $378.74
Payment rules and modifiers for 22510
22510 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22510
Vertebroplasty, cervicothoracic vertebral body
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 22510
Vertebroplasty, cervicothoracic vertebral body
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
22510 without 51 · national office
$1,763.23
Vertebroplasty, cervicothoracic vertebral body
22510-51 · Second procedure: 50%
$881.62
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 22510 has changed in Hawaii, Guam, HI
22510 · Office / nonfacility
$1947.94
Effective 2026-10-01
The base rate is $79.33 higher than on 2025-10-01, moving from $1868.61 to $1947.94 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$1868.61changed to$1947.94
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.90 changed to 7.70
- Practice expense RVU 42.85 changed to 43.93
- Malpractice RVU 1.13 changed to 1.16
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1981.10changed to$1868.61
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 44.36 changed to 42.85
- Malpractice RVU 1.15 changed to 1.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1948.76changed to$1981.10
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2074.27changed to$1948.76
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 45.90 changed to 44.36
- Malpractice RVU 1.11 changed to 1.15
- Work GPCI 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$2168.05changed to$2074.27
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 47.24 changed to 45.90
- Malpractice RVU 1.00 changed to 1.11
- Work GPCI 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$2196.49changed to$2168.05
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 47.52 changed to 47.24
- Malpractice RVU 0.97 changed to 1.00
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$2087.18changed to$2196.49
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 43.10 changed to 47.52
- Malpractice RVU 0.90 changed to 0.97
- Work GPCI 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1998.52changed to$2087.18
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 40.98 changed to 43.10
- Malpractice RVU 0.95 changed to 0.90
- Work GPCI 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1920.42changed to$1998.52
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 39.14 changed to 40.98
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1917.37changed to$1920.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 38.94 changed to 39.14
- Malpractice RVU 0.93 changed to 0.95
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$2030.78changed to$1917.37
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 8.15 changed to 7.90
- Practice expense RVU 41.25 changed to 38.94
- Malpractice RVU 0.99 changed to 0.93
- Work GPCI 1.003 changed to 1.002
- Practice expense GPCI 1.162 changed to 1.154
- Malpractice GPCI 0.618 changed to 0.616
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$2025.24changed to$2030.78
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 40.91 changed to 41.25
- Malpractice RVU 1.05 changed to 0.99
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$2015.16changed to$2025.24
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$2015.16
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,947.94 | $378.74 | RVU26D |
| 2026-07-01 | $1,947.94 | $378.74 | RVU26C |
| 2026-04-01 | $1,947.94 | $378.74 | RVU26B |
| 2026-01-01 | $1,947.94 | $378.74 | RVU26A |
| 2025-10-01 | $1,868.61 | $420.62 | RVU25D |
| 2025-07-01 | $1,868.61 | $420.62 | RVU25C |
| 2025-04-01 | $1,868.61 | $420.62 | RVU25B |
| 2025-01-01 | $1,868.61 | $420.62 | RVU25A |
| 2024-10-01 | $1,981.10 | $429.02 | RVU24D |
| 2024-07-01 | $1,981.10 | $429.02 | RVU24C |
| 2024-04-01 | $1,981.10 | $429.02 | RVU24B |
| 2024-03-09 | $1,981.10 | $429.02 | RVU24AR |
| 2024-01-01 | $1,948.76 | $422.02 | RVU24A |
| 2023-10-01 | $2,074.27 | $439.72 | RVU23D |
| 2023-07-01 | $2,074.27 | $439.72 | RVU23C |
| 2023-04-01 | $2,074.27 | $439.72 | RVU23B |
| 2023-01-01 | $2,074.27 | $439.72 | RVU23A |
| 2022-10-01 | $2,168.05 | $447.81 | RVU22D |
| 2022-07-01 | $2,168.05 | $447.81 | RVU22C |
| 2022-04-01 | $2,168.05 | $447.81 | RVU22B |
| 2022-01-01 | $2,168.05 | $447.81 | RVU22A |
| 2021-10-01 | $2,196.49 | $449.22 | RVU21D |
| 2021-07-01 | $2,196.49 | $449.22 | RVU21C |
| 2021-04-01 | $2,196.49 | $449.22 | RVU21B |
| 2021-01-01 | $2,196.49 | $449.22 | RVU21A |
| 2020-10-01 | $2,087.18 | $460.50 | RVU20D |
| 2020-07-01 | $2,087.18 | $460.50 | RVU20C |
| 2020-04-01 | $2,087.18 | $460.50 | RVU20B |
| 2020-01-01 | $2,087.18 | $460.50 | RVU20A |
| 2019-10-01 | $1,998.52 | $458.42 | RVU19D |
| 2019-07-01 | $1,998.52 | $458.42 | RVU19C |
| 2019-04-01 | $1,998.52 | $458.42 | RVU19B |
| 2019-01-01 | $1,998.52 | $458.42 | RVU19A |
| 2018-10-01 | $1,920.42 | $459.98 | RVU18D |
| 2018-07-01 | $1,920.42 | $459.98 | RVU18C |
| 2018-04-01 | $1,920.42 | $459.98 | RVU18B |
| 2018-01-01 | $1,920.42 | $459.98 | RVU18AR1 |
| 2017-10-01 | $1,917.37 | $462.03 | RVU17D |
| 2017-07-01 | $1,917.37 | $462.03 | RVU17C |
| 2017-04-01 | $1,917.37 | $462.03 | RVU17B |
| 2017-01-01 | $1,917.37 | $462.03 | RVU17A |
| 2016-10-01 | $2,030.78 | $478.92 | RVU16D |
| 2016-07-01 | $2,030.78 | $478.92 | RVU16C |
| 2016-04-01 | $2,030.78 | $478.92 | RVU16B |
| 2016-01-01 | $2,030.78 | $478.92 | RVU16A |
| 2015-10-01 | $2,025.24 | $480.73 | RVU15D |
| 2015-07-01 | $2,025.24 | $480.73 | RVU15C |
| 2015-04-01 | $2,015.16 | $478.34 | RVU15B |
| 2015-01-01 | $2,015.16 | $478.34 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
22510 billing questions
When should 22510 be used instead of 22511?
Use 22510 for a cervical or thoracic vertebral body. Code 22511 applies to a lumbosacral vertebral body.
How many units are reported for bilateral injection?
Report one unit for the treated vertebral body whether cement is injected unilaterally or bilaterally. Modifier 50 is inappropriate.
How is another treated vertebral body reported?
Report 22512 for each additional vertebral body treated. Document the levels and number of bodies treated.
Can imaging guidance or a biopsy be billed separately?
Imaging guidance is included in 22510, and a bone biopsy obtained during the procedure is included when performed.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 22510. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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