$324.53–$350.24
Both cover closed treatment of a vertebral body fracture, but 22315 requires manipulation; 22310 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
22315 Vertebral fracture care Medicare reimbursement rates in Georgia
Reports closed treatment of a vertebral body fracture when the physician manipulates the fracture and provides the required casting or bracing. Compare 22315 office and facility rates across CMS payment localities in Georgia.
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 22315 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$957.51–$1032.53
2 of 2 localities have a supported rate.
Facility setting
$735.25–$779.37
2 of 2 localities have a supported rate.
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 surgery
About 22315: Closed vertebral fracture treatment with manipulation
Reports closed treatment of a vertebral body fracture when the physician manipulates the fracture and provides the required casting or bracing.
This code covers closed treatment of a vertebral body fracture when the physician manipulates the fracture to restore alignment, with casting or bracing included in the service. It is used by physicians such as orthopedic or spine surgeons managing a fracture without open surgical exposure. The encounter may occur in a hospital or other setting where the physician performs the reduction and establishes immobilization.
Choose this code when documentation supports manipulation, rather than closed care without manipulation. The record should identify the vertebral body fracture, the reduction or alignment maneuver, and the cast or brace plan. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 22315
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.86 · 33%
- Practice expense (office) RVU17.69 · 59%
- Malpractice RVU2.54 · 8%
217
Medicare services in 2024 · #4254 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.
22315 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
22318 is specific to odontoid fracture treatment without graft. This code is for closed treatment with manipulation of a vertebral body fracture.
No office rate
22325 describes open posterior treatment of a lumbar vertebral fracture or dislocation. This code describes closed vertebral body fracture treatment with manipulation.
Compare 22315 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$1032.53
Facility
$779.37
Rest Of Georgia →
Office / nonfacility
$957.51
Facility
$735.25
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22315 billing questions
How does this differ from 22310?
22315 is for closed vertebral body fracture treatment with manipulation. Use 22310 when the fracture is treated without manipulation.
Is the brace or cast separately reported?
Casting or bracing required for this closed treatment is included in the service. The treatment record should support the fracture reduction and immobilization plan.
Can modifier 50 be used for fractures on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced to 50%.
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.
2,06022224,,Osteot dsc ant 1vrt sgm lmbr,A,,22.51,16.07,NA,16.07,,5.74,44.32,44.32,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06122226,,Osteot dsc ant 1vrt sgm ea,A,,5.88,1.93,NA,1.93,,1.76,9.57,9.57,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06222310,,Closed tx vert fx w/o manj,A,,3.36,6.07,,4.58,,0.79,10.22,8.73,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06322315,,Closed tx vert fx w/manj,A,,9.86,17.69,,10.23,,2.54,30.09,22.63,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06422318,,Treat odontoid fx w/o graft,A,,22.15,17.52,NA,17.52,,8.97,48.64,48.64,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06522319,,Treat odontoid fx w/graft,A,,24.70,19.05,NA,19.05,,10.43,54.18,54.18,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06622325,,Treat spine fracture,A,,19.37,17.07,NA,17.07,,6.80,43.24,43.24,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00