$5,797.78
Choose 22513 for augmentation of a thoracic vertebral body; 22514 identifies a lumbar body.
On this page
CMS RVU26D · Effective 2026-10-01
22514 Vertebral augmentation Medicare reimbursement rates in Nevada
Report this service for percutaneous mechanical augmentation of one lumbar vertebral body, commonly to stabilize a painful compression fracture with bone cement. Compare 22514 office and facility rates across CMS payment localities in Nevada.
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 22514 in Nevada?
Nevada 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
$5803.21
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$416.28
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Spine procedure
About 22514: Lumbar percutaneous vertebral augmentation
Report this service for percutaneous mechanical augmentation of one lumbar vertebral body, commonly to stabilize a painful compression fracture with bone cement.
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.
CMS billing rules for 22514
- 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 RVU7.79 · 4%
- Practice expense (office) RVU164.59 · 95%
- Malpractice RVU1.44 · 1%
22.4K
Medicare services in 2024 · #1098 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.
22514 compared with similar codes
Office rates for Nevada, from the same CMS release.
$2,976.10
22514 reports the first treated lumbar body in this service family. Use 22515 for each eligible additional body in the same session.
$1,769.45
22511 describes percutaneous vertebroplasty in the lumbosacral region. 22514 is for lumbar mechanical vertebral augmentation, commonly performed with cavity creation.
$736.40
22512 is an additional-body code for vertebroplasty, not the add-on for 22514; 22515 is used for additional augmentation bodies.
Compare 22514 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
Nevada** →
Office / nonfacility
$5803.21
Facility
$416.28
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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 22514 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,075
- Code
- 22514
- Physician work
- 7.79
- Practice expense
- 164.59
- Malpractice
- 1.44
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.79 | × 1.000 | 7.7900 |
| Practice expense | 164.59 | × 1.001 | 164.7546 |
| Malpractice | 1.44 | × 0.833 | 1.1995 |
| Total RVUs | 173.7441 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$5803.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.79 | 1 |
| Practice expense | 164.59 | 1.001 |
| Malpractice | 1.44 | 0.833 |
(7.79 × 1 + 164.59 × 1.001 + 1.44 × 0.833) × $33.4009 = $5803.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.79 | 1 |
| Practice expense | 3.47 | 1.001 |
| Malpractice | 1.44 | 0.833 |
(7.79 × 1 + 3.47 × 1.001 + 1.44 × 0.833) × $33.4009 = $416.28
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.
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 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.
2,07222511,,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
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
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097