$1,563.01
22510 reports the initial cervicothoracic vertebroplasty body. Use 22512 only for additional bodies treated in the session.
On this page
CMS RVU26D · Effective 2026-10-01
22512 Vertebroplasty Medicare reimbursement rates in Alabama
Reports treatment of each additional vertebral body during percutaneous vertebroplasty, alongside the primary code for the treated spinal region. Compare 22512 office and facility rates across CMS payment localities in Alabama.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 22512 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$656.20
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$167.55
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Spine procedure
About 22512: Additional vertebral body vertebroplasty
Reports treatment of each additional vertebral body during percutaneous vertebroplasty, alongside the primary code for the treated spinal region.
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.
CMS billing rules for 22512
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.90 · 18%
- Practice expense (office) RVU17.53 · 79%
- Malpractice RVU0.72 · 3%
1.5K
Medicare services in 2024 · #2702 by national volume
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.
22512 compared with similar codes
Office rates for Alabama, from the same CMS release.
$1,570.99
22511 reports the initial lumbosacral vertebroplasty body. Use 22512 for each additional body, not as the primary service.
$2,613.61
22515 reports an additional body treated with vertebral augmentation involving cavity creation; 22512 is for additional-body vertebroplasty.
Compare 22512 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$656.20
Facility
$167.55
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 22512 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,073
- Code
- 22512
- Physician work
- 3.90
- Practice expense
- 17.53
- Malpractice
- 0.72
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.000 | 3.9000 |
| Practice expense | 17.53 | × 0.875 | 15.3388 |
| Malpractice | 0.72 | × 0.566 | 0.4075 |
| Total RVUs | 19.6463 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$656.20
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 17.53 | 0.875 |
| Malpractice | 0.72 | 0.566 |
(3.9 × 1 + 17.53 × 0.875 + 0.72 × 0.566) × $33.4009 = $656.20
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 0.81 | 0.875 |
| Malpractice | 0.72 | 0.566 |
(3.9 × 1 + 0.81 × 0.875 + 0.72 × 0.566) × $33.4009 = $167.55
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,07022505,,Manipulation of spine,A,,1.82,2.00,NA,2.00,,0.78,4.60,4.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07122510,,Perq cervicothoracic inject,A,,7.70,43.93,,2.61,,1.16,52.79,11.47,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07222511,,Perq lumbosacral injection,A,,7.15,44.89,,2.60,,1.07,53.11,10.82,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07322512,,Vertebroplasty addl inject,A,,3.90,17.53,,0.81,,0.72,22.15,5.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07422513,,Perq vertebral augmentation,A,,8.43,163.68,,3.58,,1.57,173.68,13.58,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07522514,,Perq vertebral augmentation,A,,7.79,164.59,,3.47,,1.44,173.82,12.70,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07622515,,Perq vertebral augmentation,A,,3.90,84.46,,0.97,,0.79,89.15,5.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515