$1,680.31
The distinction is the treated region: 22510 covers cervical or thoracic vertebral bodies, while 22511 covers lumbosacral bodies.
On this page
CMS RVU26D · Effective 2026-10-01
22510 Vertebroplasty Medicare reimbursement rates in Utah
Percutaneous vertebroplasty stabilizes one cervical or thoracic vertebral body, typically for a painful compression fracture treated with injected bone cement. Compare 22510 office and facility rates across CMS payment localities in Utah.
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 22510 in Utah?
Utah 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
$1671.24
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$373.93
1 of 1 localities have a supported rate.
Payment area: Utah
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 procedures
About 22510: Cervicothoracic vertebroplasty
Percutaneous vertebroplasty stabilizes one cervical or thoracic vertebral body, typically for a painful compression fracture treated with injected bone cement.
Percutaneous vertebroplasty places a needle through the skin into one cervical or thoracic vertebral body and injects bone cement to stabilize a painful compression fracture. Interventional radiologists, neuroradiologists, or spine surgeons typically perform it with fluoroscopic or CT guidance in a hospital or outpatient procedure setting. A biopsy may be obtained through the access when clinically indicated; imaging guidance and any biopsy are included in this service.
Report 22510 for one cervicothoracic vertebral body; unilateral or bilateral injection remains one unit for that body. Report 22512 for each additional treated vertebral body, and distinguish vertebroplasty from vertebral augmentation that creates a cavity. The 10-day global period includes related postoperative visits during that period. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are reduced to 50%. 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 22510
- 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 RVU7.70 · 15%
- Practice expense (office) RVU43.93 · 83%
- Malpractice RVU1.16 · 2%
1.8K
Medicare services in 2024 · #2564 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.
22510 compared with similar codes
Office rates for Utah, from the same CMS release.
$702.25
22510 reports the initial cervicothoracic vertebral body; 22512 reports each additional treated vertebral body.
$5,467.70
22513 describes thoracic vertebral augmentation with cavity creation. Choose it when that technique is performed rather than vertebroplasty.
$5,470.99
22514 is vertebral augmentation with cavity creation for a lumbar body; 22510 is vertebroplasty for a cervical or thoracic body.
Compare 22510 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
Utah →
Office / nonfacility
$1671.24
Facility
$373.93
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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 22510 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,071
- Code
- 22510
- Physician work
- 7.70
- Practice expense
- 43.93
- Malpractice
- 1.16
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.70 | × 1.000 | 7.7000 |
| Practice expense | 43.93 | × 0.940 | 41.2942 |
| Malpractice | 1.16 | × 0.898 | 1.0417 |
| Total RVUs | 50.0359 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$1671.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.7 | 1 |
| Practice expense | 43.93 | 0.94 |
| Malpractice | 1.16 | 0.898 |
(7.7 × 1 + 43.93 × 0.94 + 1.16 × 0.898) × $33.4009 = $1671.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.7 | 1 |
| Practice expense | 2.61 | 0.94 |
| Malpractice | 1.16 | 0.898 |
(7.7 × 1 + 2.61 × 0.94 + 1.16 × 0.898) × $33.4009 = $373.93
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.
22510 billing questions
When should 22510 be used instead of 22511?
Use 22510 for a cervical or thoracic vertebral body. Code 22511 applies to a lumbosacral vertebral body.
How many units are reported for bilateral injection?
Report one unit for the treated vertebral body whether cement is injected unilaterally or bilaterally. Modifier 50 is inappropriate.
How is another treated vertebral body reported?
Report 22512 for each additional vertebral body treated. Document the levels and number of bodies treated.
Can imaging guidance or a biopsy be billed separately?
Imaging guidance is included in 22510, and a bone biopsy obtained during the procedure is included when performed.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 22510. 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.
2,06822327,,Treat thorax spine fracture,A,,20.25,17.55,NA,17.55,,7.21,45.01,45.01,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,06922328,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985