CPT code 22512: Vertebroplasty, each additional vertebral body2026 Medicare rate & RVUs in Idaho

Reports treatment of each additional vertebral body during percutaneous vertebroplasty, alongside the primary code for the treated spinal region.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5K Medicare services in 2024

In Idaho, Medicare pays $680.31 for 22512 in the office and $166.53 when it’s performed in a hospital or facility.

$680.31Office (non-facility)
$166.53Hospital or facility
−8.0%vs the national office rate ($739.83)

Check a contract rate as a % of Medicare · 22512 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 22512 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What 22512 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 22512 covers

This add-on captures vertebroplasty performed on an additional vertebral body after the first body in the same session. The physician places a needle into the vertebra and injects bone cement to stabilize it, commonly for a painful compression fracture related to osteoporosis or tumor. Interventional radiologists and spine surgeons perform the procedure, usually in a hospital or ambulatory surgical setting. Vertebroplasty injects cement without the cavity-creation technique used for vertebral augmentation.

Report 22512 for each additional body treated after the appropriate primary vertebroplasty code: 22510 for the cervicothoracic region or 22511 for the lumbosacral region. The operative or procedure note should identify the vertebral levels treated and document the vertebroplasty technique. Do not report 22512 alone. CMS classifies it as an add-on code paid within the primary procedure's global period. Imaging guidance for the vertebroplasty is included in the procedure service.

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 Idaho compares for 22512

Across 109 of 109 payment localities, the office rate for 22512 runs from $645.61 in Arkansas to $1,001.80 in San Benito County, CA. Idaho pays $680.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

22512 in Idaho vs other payment areas
  1. Idaho · this page$680.31
  2. Los Angeles, CA · California$844.24+$163.93
  3. Washington, DC area · District of Columbia$853.80+$173.49
  4. Miami, FL · Florida$800.61+$120.30
  5. Chicago, IL · Illinois$774.81+$94.50
  6. Manhattan, NY · New York$857.11+$176.80
  7. Alaska · Alaska$832.22+$151.91

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

Every other payment area

22512 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$656.20$167.55
ArkansasArkansas$645.61$165.89
ArizonaArizona$718.22$177.07
Bakersfield, CACalifornia$789.11$177.04
Chico, CACalifornia$787.10$175.02
El Centro, CACalifornia$787.22$175.14
Fresno, CACalifornia$787.10$175.02
Hanford, CACalifornia$787.10$175.02

22512 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.

$645.61

$894.45

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
22512 office rate range by state
State / territoryOffice rate rangeLocalities
AK$832.221
AL$656.201
AR$645.611
AZ$718.221
CA$787.10–$1,001.8029
CO$773.601
CT$792.571
DC$853.801
DE$731.031
FL$726.16–$800.613
GA$681.21–$754.422
GU$809.921
HI$809.921
IA$675.561
ID$680.311
IL$702.43–$775.124
IN$684.731
KS$671.691
KY$672.791
LA$671.49–$708.562
MA$768.06–$856.122
MD$746.19–$853.803
ME$683.90–$725.692
MI$691.99–$735.832
MN$739.881
MO$658.40–$711.773
MS$652.171
MT$739.781
NC$691.921
ND$725.551
NE$679.791
NH$760.831
NJ$801.24–$843.352
NM$696.071
NV$736.401
NY$703.41–$879.445
OH$689.081
OK$671.821
OR$730.35–$800.752
PA$690.49–$770.822
PR$745.911
RI$759.031
SC$691.721
SD$723.861
TN$675.411
TX$685.43–$771.318
UT$702.251
VA$722.81–$853.802
VI$745.911
VT$722.091
WA$766.81–$874.852
WI$698.601
WV$673.491
WY$733.581

See 22512 in every payment locality

How the 22512 rate is calculated

Each of 22512’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 · 22512

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.90

3.90 RVUs× 1.000 GPCI

Practice expense17.53

17.53 RVUs× 1.000 GPCI

Malpractice0.72

0.72 RVUs× 1.000 GPCI

Adjusted RVUs

22.1500

Conversion factor

$33.4009

Medicare rate

$739.83

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Idaho inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,073

Code
22512
Physician work
3.90
Practice expense
17.53
Malpractice
0.72

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Office calculation for 22512 in Idaho
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense17.53× 0.92016.1276
Malpractice0.72× 0.4730.3406
Total RVUs20.3682
Conversion factor× 33.4009

Office rate, Idaho$680.31

Office: (3.9 × 1 + 17.53 × 0.92 + 0.72 × 0.473) × $33.4009 = $680.31

Facility: (3.9 × 1 + 0.81 × 0.92 + 0.72 × 0.473) × $33.4009 = $166.53

Open 22512 in the RVU calculator

Payment rules and modifiers for 22512

The CMS indicators that decide how 22512 is paid alongside other services.

CMS payment indicators · 22512

Vertebroplasty, each additional vertebral body

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

How 22512 has changed in Idaho

22512 · Office / nonfacility

$680.31

Effective 2026-10-01

The base rate is $59.54 higher than on 2025-10-01, moving from $620.77 to $680.31 (9.6%).

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

    $620.77changed to$680.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.00 changed to 3.90
    • Practice expense RVU 16.37 changed to 17.53
    • Malpractice RVU 0.71 changed to 0.72
    • Practice expense GPCI 0.908 changed to 0.920
    • Malpractice GPCI 0.461 changed to 0.473

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $656.21changed to$620.77

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 16.94 changed to 16.37
    • Malpractice RVU 0.72 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $645.50changed to$656.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $671.76changed to$645.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 17.39 changed to 16.94
    • Malpractice RVU 0.67 changed to 0.72
    • Practice expense GPCI 0.893 changed to 0.908
    • Malpractice GPCI 0.439 changed to 0.461
  5. January 1, 2023

    RVU23A

    $690.90changed to$671.76

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 17.90 changed to 17.39
    • Malpractice RVU 0.64 changed to 0.67
    • Practice expense GPCI 0.877 changed to 0.893
    • Malpractice GPCI 0.416 changed to 0.439

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $755.25changed to$690.90

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 19.83 changed to 17.90
    • Malpractice RVU 0.61 changed to 0.64

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $792.91changed to$755.25

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 19.91 changed to 19.83
    • Malpractice RVU 0.54 changed to 0.61
    • Practice expense GPCI 0.890 changed to 0.877
    • Malpractice GPCI 0.464 changed to 0.416

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $838.44changed to$792.91

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 21.04 changed to 19.91
    • Malpractice RVU 0.56 changed to 0.54
    • Practice expense GPCI 0.902 changed to 0.890
    • Malpractice GPCI 0.512 changed to 0.464

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $888.69changed to$838.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 22.61 changed to 21.04
    • Malpractice RVU 0.57 changed to 0.56

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $884.15changed to$888.69

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 22.60 changed to 22.61
    • Malpractice RVU 0.58 changed to 0.57
    • Practice expense GPCI 0.900 changed to 0.902
    • Malpractice GPCI 0.510 changed to 0.512

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $905.03changed to$884.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 23.36 changed to 22.60
    • Malpractice RVU 0.59 changed to 0.58
    • Practice expense GPCI 0.898 changed to 0.900
    • Malpractice GPCI 0.508 changed to 0.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $905.29changed to$905.03

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 23.25 changed to 23.36
    • Malpractice RVU 0.62 changed to 0.59

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $900.78changed to$905.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$900.78

    Held through RVU15B.

  15. 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$680.31$166.53RVU26D
2026-07-01$680.31$166.53RVU26C
2026-04-01$680.31$166.53RVU26B
2026-01-01$680.31$166.53RVU26A
2025-10-01$620.77$182.56RVU25D
2025-07-01$620.77$182.56RVU25C
2025-04-01$620.77$182.56RVU25B
2025-01-01$620.77$182.56RVU25A
2024-10-01$656.21$186.82RVU24D
2024-07-01$656.21$186.82RVU24C
2024-04-01$656.21$186.82RVU24B
2024-03-09$656.21$186.82RVU24AR
2024-01-01$645.50$183.77RVU24A
2023-10-01$671.76$189.09RVU23D
2023-07-01$671.76$189.09RVU23C
2023-04-01$671.76$189.09RVU23B
2023-01-01$671.76$189.09RVU23A
2022-10-01$690.90$190.73RVU22D
2022-07-01$690.90$190.73RVU22C
2022-04-01$690.90$190.73RVU22B
2022-01-01$690.90$190.73RVU22A
2021-10-01$755.25$191.88RVU21D
2021-07-01$755.25$191.88RVU21C
2021-04-01$755.25$191.88RVU21B
2021-01-01$755.25$191.88RVU21A
2020-10-01$792.91$199.01RVU20D
2020-07-01$792.91$199.01RVU20C
2020-04-01$792.91$199.01RVU20B
2020-01-01$792.91$199.01RVU20A
2019-10-01$838.44$200.97RVU19D
2019-07-01$838.44$200.97RVU19C
2019-04-01$838.44$200.97RVU19B
2019-01-01$838.44$200.97RVU19A
2018-10-01$888.69$201.59RVU18D
2018-07-01$888.69$201.59RVU18C
2018-04-01$888.69$201.59RVU18B
2018-01-01$888.69$201.59RVU18AR1
2017-10-01$884.15$202.30RVU17D
2017-07-01$884.15$202.30RVU17C
2017-04-01$884.15$202.30RVU17B
2017-01-01$884.15$202.30RVU17A
2016-10-01$905.03$202.18RVU16D
2016-07-01$905.03$202.18RVU16C
2016-04-01$905.03$202.18RVU16B
2016-01-01$905.03$202.18RVU16A
2015-10-01$905.29$203.45RVU15D
2015-07-01$905.29$203.45RVU15C
2015-04-01$900.78$202.44RVU15B
2015-01-01$900.78$202.44RVU15A
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 22512 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

22512 billing questions

Can 22512 be reported without a primary vertebroplasty code?

No. Report it only with 22510 or 22511 for the initial vertebral body treated in the applicable spinal region.

How many units of 22512 should be reported?

Report one unit for each additional vertebral body treated beyond the first body in the session.

How do I choose between 22510 and 22511 as the primary code?

Use 22510 for the cervicothoracic region and 22511 for the lumbosacral region; 22512 identifies additional treated bodies.

Is imaging guidance separately reported with 22512?

Imaging guidance for the vertebroplasty is included in the procedure service.

When is 22515 used instead of 22512?

Use 22515 for an additional body treated with vertebral augmentation involving cavity creation. Use 22512 for additional-body vertebroplasty.

What documentation supports reporting 22512?

Document the vertebral levels treated, which body was treated first, and that the additional bodies received vertebroplasty rather than vertebral augmentation.

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 22512PPRRVU2026_Oct_nonQPP.csv, line 2,073 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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