$1,024.40–$1,123.83
Both address closed treatment of vertebral body fractures requiring casting or bracing. Choose 22310 when there is no manipulation; 22315 applies when treatment includes manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
22310 Spine fracture care Medicare reimbursement rates in Massachusetts
Report closed, nonoperative treatment of vertebral body fracture(s) managed without manipulation and with casting or bracing as part of care. Compare 22310 office and facility rates across CMS payment localities in Massachusetts.
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 22310 in Massachusetts?
Massachusetts 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
$348.54–$382.39
2 of 2 localities have a supported rate.
Facility setting
$296.14–$322.97
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.
Orthopedic surgery
About 22310: Closed vertebral fracture care without manipulation
Report closed, nonoperative treatment of vertebral body fracture(s) managed without manipulation and with casting or bracing as part of care.
This code describes physician-managed, nonoperative care for one or more vertebral body fractures when treatment does not involve manipulation and requires a cast or brace. Orthopedic surgeons, neurosurgeons, and other spine specialists may use it when they select and manage external immobilization rather than surgically treating the fracture. The clinical record should identify the fracture and vertebral level, document the decision for closed treatment, and support the brace or cast plan.
Report the code for the fracture treatment, not as a separate charge for the included casting or bracing service. It has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 22310
- 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 RVU3.36 · 33%
- Practice expense (office) RVU6.07 · 59%
- Malpractice RVU0.79 · 8%
4.9K
Medicare services in 2024 · #1881 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.
22310 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
22310 describes closed treatment without manipulation. 22325 is for open treatment with fixation of a lumbar vertebral fracture.
No office rate
22310 describes closed treatment without manipulation. 22326 is for open treatment with fixation of a cervical vertebral fracture.
No office rate
22310 describes closed treatment without manipulation. 22327 is for open treatment with fixation of a thoracic vertebral fracture.
Compare 22310 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
Metropolitan Boston →
Office / nonfacility
$382.39
Facility
$322.97
Rest Of Massachusetts →
Office / nonfacility
$348.54
Facility
$296.14
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22310 billing questions
How does this differ from 22315?
22310 is for closed vertebral body fracture treatment without manipulation. Use 22315 when the treatment includes manipulation.
Can casting or bracing be reported separately?
Casting or bracing is included in the treatment described by this code. Do not report the included physician treatment again as a separate service.
What documentation supports reporting 22310?
Document the vertebral body fracture and level, the choice of closed treatment without manipulation, and the cast or brace plan.
Does the code have a global period?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code, 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 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.
2,05922222,,Osteot dsc ant 1vrt sgm thrc,A,,22.51,21.11,NA,21.11,,9.50,53.12,53.12,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06022224,,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