CPT code 22514: Vertebral augmentation, lumbar, one vertebral body2026 Medicare rate & RVUs in Queens, NY

In Queens, NY, Medicare pays $6,844.19 for 22514 in the office and $483.20 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 22514 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 22514 covers

A physician accesses a lumbar vertebral body through the skin and uses a mechanical device to create a cavity when performed, then fills the space with bone cement to stabilize the vertebra. This approach, commonly called kyphoplasty, is used for selected painful vertebral compression fractures, including fractures related to osteoporosis. Radiologists, interventional radiologists, and spine surgeons may perform the procedure in a hospital or other procedural setting. Imaging guidance is included in the service.

Report 22514 for one lumbar vertebral body; document the treated level, fracture and clinical findings, percutaneous approach, and augmentation performed. Use 22513 for a thoracic body, and report 22515 for each eligible additional body in the same session. Unilateral or bilateral access does not change the unit for one body, and modifier 50 is inappropriate. Related postoperative visits during the 10-day global period are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service; 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 Queens, NY compares for 22514

Across 109 of 109 payment localities, the office rate for 22514 runs from $5,007.28 in Arkansas to $8,241.92 in San Benito County, CA. Queens, NY pays $6,844.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22514 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 22514 in every payment locality

How the 22514 rate is calculated

Each of 22514’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.

Payment rules and modifiers for 22514

22514 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 22514

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 22514 has changed in Queens, NY

Price 22514 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

• 22514 in New York · multiple payment areas

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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

Open CMS sourceHow we calculate rates