CPT code 22510: Vertebroplasty, cervicothoracic vertebral body2026 Medicare rate & RVUs in Tennessee

Percutaneous vertebroplasty stabilizes one cervical or thoracic vertebral body, typically for a painful compression fracture treated with injected bone cement.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Tennessee, Medicare pays $1,611.77 for 22510 in the office and $357.24 when it’s performed in a hospital or facility.

$1,611.77Office (non-facility)
$357.24Hospital or facility
−8.6%vs the national office rate ($1,763.23)

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.

We’ll open 22510 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 22510 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Tennessee 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. Tennessee pays $1,611.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

22510 in Tennessee vs other payment areas
  1. Tennessee · this page$1,611.77
  2. Los Angeles, CA · California$2,029.28+$417.51
  3. Washington, DC area · District of Columbia$2,042.68+$430.91
  4. Miami, FL · Florida$1,882.63+$270.86
  5. Chicago, IL · Illinois$1,822.55+$210.78
  6. Manhattan, NY · New York$2,040.10+$428.33
  7. Alaska · Alaska$1,969.81+$358.04

Other areas in Tennessee first, then benchmark localities. Bars start at $0.

Every other payment area

22510 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
22510 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,969.811
AL$1,563.011
AR$1,537.551
AZ$1,712.171
CA$1,890.49–$2,422.0929
CO$1,851.741
CT$1,889.501
DC$2,042.681
DE$1,743.001
FL$1,718.16–$1,882.633
GA$1,612.20–$1,795.272
GU$1,947.941
HI$1,947.941
IA$1,615.151
ID$1,625.431
IL$1,657.39–$1,834.564
IN$1,636.211
KS$1,603.161
KY$1,597.071
LA$1,592.87–$1,681.932
MA$1,837.25–$2,054.172
MD$1,780.24–$2,042.683
ME$1,631.20–$1,735.732
MI$1,640.58–$1,738.462
MN$1,778.511
MO$1,559.74–$1,692.883
MS$1,549.171
MT$1,763.161
NC$1,650.941
ND$1,740.221
NE$1,626.151
NH$1,818.551
NJ$1,912.27–$2,016.842
NM$1,649.241
NV$1,758.231
NY$1,678.36–$2,090.225
OH$1,635.891
OK$1,597.591
OR$1,745.86–$1,920.302
PA$1,640.78–$1,835.502
PR$1,778.791
RI$1,812.361
SC$1,645.911
SD$1,737.511
TN$1,611.771
TX$1,628.43–$1,844.438
UT$1,671.241
VA$1,726.90–$2,042.682
VI$1,778.791
VT$1,729.421
WA$1,835.08–$2,102.082
WI$1,674.801
WV$1,587.721
WY$1,753.161

See 22510 in every payment locality

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

Office or facility?

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 Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 22510 in Tennessee
ComponentRVULocality factorAdjusted
Physician work7.70× 1.0007.7000
Practice expense43.93× 0.90939.9324
Malpractice1.16× 0.5370.6229
Total RVUs48.2553
Conversion factor× 33.4009

Office rate, Tennessee$1611.77

Office: (7.7 × 1 + 43.93 × 0.909 + 1.16 × 0.537) × $33.4009 = $1611.77

Facility: (7.7 × 1 + 2.61 × 0.909 + 1.16 × 0.537) × $33.4009 = $357.24

Open 22510 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

How 22510 has changed in Tennessee

22510 · Office / nonfacility

$1611.77

Effective 2026-10-01

The base rate is $94.45 higher than on 2025-10-01, moving from $1517.32 to $1611.77 (6.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $1517.32changed to$1611.77

    • 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 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1606.86changed to$1517.32

    • 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.

  3. March 9, 2024

    RVU24AR

    $1580.63changed to$1606.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1677.74changed to$1580.63

    • 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
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $1748.65changed to$1677.74

    • 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
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1771.35changed to$1748.65

    • 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.

  7. January 1, 2021

    RVU21A

    $1696.89changed to$1771.35

    • 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
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1633.39changed to$1696.89

    • 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
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1571.92changed to$1633.39

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 39.14 changed to 40.98

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$1571.92

    Held through RVU18C, RVU18D.

  11. January 1, 2015

    RVU15A

    No ratechanged toNo rate

    Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,611.77$357.24RVU26D
2026-07-01$1,611.77$357.24RVU26C
2026-04-01$1,611.77$357.24RVU26B
2026-01-01$1,611.77$357.24RVU26A
2025-10-01$1,517.32$388.16RVU25D
2025-07-01$1,517.32$388.16RVU25C
2025-04-01$1,517.32$388.16RVU25B
2025-01-01$1,517.32$388.16RVU25A
2024-10-01$1,606.86$396.54RVU24D
2024-07-01$1,606.86$396.54RVU24C
2024-04-01$1,606.86$396.54RVU24B
2024-03-09$1,606.86$396.54RVU24AR
2024-01-01$1,580.63$390.06RVU24A
2023-10-01$1,677.74$402.62RVU23D
2023-07-01$1,677.74$402.62RVU23C
2023-04-01$1,677.74$402.62RVU23B
2023-01-01$1,677.74$402.62RVU23A
2022-10-01$1,748.65$406.17RVU22D
2022-07-01$1,748.65$406.17RVU22C
2022-04-01$1,748.65$406.17RVU22B
2022-01-01$1,748.65$406.17RVU22A
2021-10-01$1,771.35$407.78RVU21D
2021-07-01$1,771.35$407.78RVU21C
2021-04-01$1,771.35$407.78RVU21B
2021-01-01$1,771.35$407.78RVU21A
2020-10-01$1,696.89$421.42RVU20D
2020-07-01$1,696.89$421.42RVU20C
2020-04-01$1,696.89$421.42RVU20B
2020-01-01$1,696.89$421.42RVU20A
2019-10-01$1,633.39$422.54RVU19D
2019-07-01$1,633.39$422.54RVU19C
2019-04-01$1,633.39$422.54RVU19B
2019-01-01$1,633.39$422.54RVU19A
2018-10-01$1,571.92$423.70RVU18D
2018-07-01$1,571.92$423.70RVU18C
2018-04-01$1,571.92$423.70RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 22510 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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

Show the CMS file lines behind this rate
RVUs for 22510PPRRVU2026_Oct_nonQPP.csv, line 2,071 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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