Billing code 22514: Vertebral augmentationMedicare rate & RVUs in Florida
Report this service for percutaneous mechanical augmentation of one lumbar vertebral body, commonly to stabilize a painful compression fracture with bone cement.
Medicare pays $5,588.05–$6,104.68 for 22514 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
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.
Where 22514 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$5588.05 to $6104.68
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $5,916.07 | $464.56 |
| Miami | $6,104.68 | $502.48 |
| Rest Of Florida | $5,588.05 | $443.28 |
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.
How the rate is built · 22514
RVUs × geographic indexes × conversion factor
Work7.79
7.79 RVUs× 1.000 GPCI
Practice expense164.59
164.59 RVUs× 1.000 GPCI
Malpractice1.44
1.44 RVUs× 1.000 GPCI
Adjusted RVUs
173.8200
Conversion factor
$33.4009
Medicare rate
$5,805.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 22514
22514 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 22514
Vertebral augmentation
| 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 · 22514
Vertebral augmentation
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
22514 without 51 · national office
$5,805.74
Vertebral augmentation
22514-51 · Second procedure: 50%
$2,902.87
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%).
22514 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 22513Vertebral augmentation
- Choose 22513 for augmentation of a thoracic vertebral body; 22514 identifies a lumbar body.
- 22515Vertebral augmentation
- 22514 reports the first treated lumbar body in this service family. Use 22515 for each eligible additional body in the same session.
- 22511Vertebroplasty
- 22511 describes percutaneous vertebroplasty in the lumbosacral region. 22514 is for lumbar mechanical vertebral augmentation, commonly performed with cavity creation.
- 22512Vertebroplasty
- 22512 is an additional-body code for vertebroplasty, not the add-on for 22514; 22515 is used for additional augmentation bodies.
22514 billing questions
How does 22514 differ from 22513?
22514 is for a lumbar vertebral body. Use 22513 for a thoracic vertebral body.
Can 22514 be reported for more than one vertebral body?
22514 represents one lumbar vertebral body. Report 22515 for each eligible additional vertebral body treated in the same session.
Should modifier 50 be used when both sides are accessed?
No. The service is reported by vertebral body, and bilateral adjustment does not apply; modifier 50 is inappropriate.
Is imaging guidance separately reported with 22514?
Imaging guidance is included in the service. Do not separately report the guidance as a distinct service for this procedure.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in 22514.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 22514, and 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
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