$679.79
Use 22515 for additional bodies treated with mechanical vertebral augmentation. Use 22512 for additional bodies treated by vertebroplasty.
On this page
CMS RVU26D · Effective 2026-10-01
22515 Vertebral augmentation Medicare reimbursement rates in Nebraska
Reports each additional thoracic or lumbar vertebral body treated with percutaneous mechanical vertebral augmentation beyond the initial treated body. Compare 22515 office and facility rates across CMS payment localities in Nebraska.
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 22515 in Nebraska?
Nebraska 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
$2744.06
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$170.14
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Interventional radiology
About 22515: Additional vertebral augmentation level
Reports each additional thoracic or lumbar vertebral body treated with percutaneous mechanical vertebral augmentation beyond the initial treated body.
This add-on represents percutaneous stabilization of another thoracic or lumbar vertebral body, typically by creating a cavity with a mechanical device and filling it with bone cement. It is used for conditions such as painful vertebral compression fractures. Interventional radiologists, spine surgeons, and other physicians trained in vertebral augmentation may perform the procedure in a hospital or outpatient setting, using imaging to guide treatment.
Report one unit for each additional vertebral body treated beyond the first: pair it with 22513 for a thoracic primary level or 22514 for a lumbar primary level. The procedure note should identify each treated vertebral body and support that augmentation was performed at each additional level. CMS classifies 22515 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 22515
- 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 · 4%
- Practice expense (office) RVU84.46 · 95%
- Malpractice RVU0.79 · 1%
12.4K
Medicare services in 2024 · #1366 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.
22515 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$5,347.49
22513 reports the initial thoracic body treated with vertebral augmentation. Add 22515 for each additional thoracic or lumbar body treated.
$5,352.52
22514 reports the initial lumbar body treated with vertebral augmentation. Add 22515 for each additional thoracic or lumbar body treated.
Compare 22515 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
Nebraska →
Office / nonfacility
$2744.06
Facility
$170.14
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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 22515 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,076
- Code
- 22515
- Physician work
- 3.90
- Practice expense
- 84.46
- Malpractice
- 0.79
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.000 | 3.9000 |
| Practice expense | 84.46 | × 0.923 | 77.9566 |
| Malpractice | 0.79 | × 0.378 | 0.2986 |
| Total RVUs | 82.1552 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$2744.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 84.46 | 0.923 |
| Malpractice | 0.79 | 0.378 |
(3.9 × 1 + 84.46 × 0.923 + 0.79 × 0.378) × $33.4009 = $2744.06
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 0.97 | 0.923 |
| Malpractice | 0.79 | 0.378 |
(3.9 × 1 + 0.97 × 0.923 + 0.79 × 0.378) × $33.4009 = $170.14
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.
22515 billing questions
Which primary code is reported with 22515?
Pair it with 22513 when the initial treated body is thoracic or 22514 when it is lumbar. Code 22515 represents each additional thoracic or lumbar body treated.
How many units should be reported?
Report one unit for each additional vertebral body treated beyond the initial body. The documentation should identify the individual levels treated.
How is 22515 different from 22512?
22515 adds a body treated with mechanical vertebral augmentation, such as kyphoplasty. 22512 is the add-on for additional vertebral bodies treated with vertebroplasty.
Can 22515 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary procedure, such as 22513 or 22514.
Is imaging guidance separately reported with 22515?
Imaging guidance associated with the vertebral augmentation is included in the service. 22515 reports an additional treated body, not a separate imaging service.
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.
2,07322512,,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
2,07722526,,Idet single level,N,+,5.70,51.76,,2.36,,0.60,58.06,8.66,9,010,0.10,0.80,0.10,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07822527,,Idet 1 or more levels,N,+,2.95,44.50,,0.64,,0.33,47.78,3.92,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,07922532,,Arthrd lat xtrcvtry tq thrc,A,,25.34,17.77,NA,17.77,,8.75,51.86,51.86,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068