$1,612.20–$1,795.27
22510 is the one-body vertebroplasty code for the cervicothoracic region; 22511 is for the lumbosacral region.
On this page
CMS RVU26D · Effective 2026-10-01
22511 Vertebroplasty Medicare reimbursement rates in Georgia
Percutaneous vertebroplasty places cement in one lumbosacral vertebral body, typically to treat a painful compression fracture without mechanical cavity creation. Compare 22511 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 22511 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
$1618.85–$1805.81
2 of 2 localities have a supported rate.
Facility setting
$358.88–$370.69
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 procedure
About 22511: Lumbosacral vertebroplasty, single body
Percutaneous vertebroplasty places cement in one lumbosacral vertebral body, typically to treat a painful compression fracture without mechanical cavity creation.
This percutaneous procedure stabilizes one lumbosacral vertebral body by injecting bone cement, usually to treat a painful compression fracture related to osteoporosis or a destructive lesion. An interventional radiologist, neuroradiologist, or spine surgeon typically performs it under imaging guidance in a hospital outpatient department or ambulatory surgery center. It does not use a balloon or other mechanical device to create a cavity. A bone biopsy performed during the procedure is included in the service.
Report 22511 for one treated body whether cement is injected through unilateral or bilateral access; modifier 50 is inappropriate. Use 22512 for each additional treated body. Documentation should identify the vertebral level, indication, number of bodies treated, and procedure performed, including whether cavity creation was used. Related postoperative visits during the 10-day global period are included. 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. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 22511
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU7.15 · 13%
- Practice expense (office) RVU44.89 · 85%
- Malpractice RVU1.07 · 2%
2.4K
Medicare services in 2024 · #2318 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.
22511 compared with similar codes
Office rates for Georgia, from the same CMS release.
$681.21–$754.42
22512 reports each additional vertebral body treated after the primary vertebroplasty, not the first lumbosacral body.
$5,221.25–$5,904.15
22514 is for lumbar vertebral augmentation with mechanical cavity creation. Use 22511 when performing lumbosacral vertebroplasty without that method.
Compare 22511 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
$1805.81
Facility
$370.69
Rest Of Georgia →
Office / nonfacility
$1618.85
Facility
$358.88
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
22511 billing questions
When should 22511 be chosen instead of 22514?
Use 22511 for lumbosacral vertebroplasty without mechanical cavity creation. Code 22514 describes lumbar vertebral augmentation that uses cavity creation.
Can 22511 be reported with modifier 50?
No. The code covers treatment of one vertebral body with unilateral or bilateral injection, and a bilateral adjustment is inappropriate.
How is an additional treated vertebral body reported?
Report 22512 for each additional vertebral body treated in the same session, following the primary 22511 service.
Is a bone biopsy performed during vertebroplasty separately reported?
A bone biopsy performed during 22511 is included in the service.
What documentation supports 22511?
Document the lumbosacral vertebral level, clinical indication, number of bodies treated, and whether the procedure involved mechanical cavity creation.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in 22511.
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.
2,06922328,,Treat each add spine fx,A,,4.49,1.51,NA,1.51,,1.56,7.56,7.56,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07022505,,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