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22514 Perq vertebral augmentation

What 22514 is

CMS fee schedule short descriptor: Perq vertebral augmentation.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 22514 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)7.79164.591.44173.82$5,805.74
Facility (hospital, ASC)7.793.471.4412.70$424.19

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: 10-day global period.

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Medically Unlikely Edit (MUE)

Medicare caps 22514 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 22514? These codes are bundled into it

22514 is a Column 1 code in 313 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
01937Anes drg/aspir crv/thrc0 - no modifier bypassCheck pair
01938Anes drg/aspir lmbr/sac0 - no modifier bypassCheck pair
01939Anes nulyt agt crv/thrc0 - no modifier bypassCheck pair
01940Anes nulyt agt lmbr/sac0 - no modifier bypassCheck pair
01941Anes neuromd/ntrvrt crv/thrc0 - no modifier bypassCheck pair
01942Anes neuromd/ntrvrt lmbr/sac0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0333TVisual ep scr acuity auto0 - no modifier bypassCheck pair
0464TVisual ep test for glaucoma0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0627TPerq njx algc fluor lmbr 1st0 - no modifier bypassCheck pair
0629TPerq njx algc ct lmbr 1st0 - no modifier bypassCheck pair
0630TPerq njx algc ct lmbr ea0 - no modifier bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
10005Fna bx w/us gdn 1st les1 - modifier may bypassCheck pair
10007Fna bx w/fluor gdn 1st les1 - modifier may bypassCheck pair
10009Fna bx w/ct gdn 1st les1 - modifier may bypassCheck pair
10011Fna bx w/mr gdn 1st les1 - modifier may bypassCheck pair
10021Fna bx w/o img gdn 1st les1 - modifier may bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11001Dbrdmt ecz/infct skn ea addl1 - modifier may bypassCheck pair
11004Dbrdmt skin xtrnl gent&per1 - modifier may bypassCheck pair
11005Dbrdmt skin abdominal wall1 - modifier may bypassCheck pair
11006Dbrdmt skin xtrnl gent per1 - modifier may bypassCheck pair

Showing 30 of 313 column 2 codes. Use the pair checker for any specific combination.

22514 is bundled into these codes

22514 appears as a Column 2 code in 9 active edits. Reported with one of these Column 1 codes on the same date of service, 22514 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0202TPost vert arthrplst 1 lumbar1Check pair
22315Closed tx vert fx w/manj1Check pair
22325Treat spine fracture1Check pair
22327Treat thorax spine fracture1Check pair
22513Perq vertebral augmentation0Check pair
22867Insj stablj dev w/dcmprn1Check pair
22868Insj stablj dev w/dcmprn1Check pair
22869Insj stablj dev w/o dcmprn1Check pair
22870Insj stablj dev w/o dcmprn1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.