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 RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 7.79 | 164.59 | 1.44 | 173.82 | $5,805.74 |
| Facility (hospital, ASC) | 7.79 | 3.47 | 1.44 | 12.70 | $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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
01937 | Anes drg/aspir crv/thrc | 0 - no modifier bypass | Check pair |
01938 | Anes drg/aspir lmbr/sac | 0 - no modifier bypass | Check pair |
01939 | Anes nulyt agt crv/thrc | 0 - no modifier bypass | Check pair |
01940 | Anes nulyt agt lmbr/sac | 0 - no modifier bypass | Check pair |
01941 | Anes neuromd/ntrvrt crv/thrc | 0 - no modifier bypass | Check pair |
01942 | Anes neuromd/ntrvrt lmbr/sac | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0333T | Visual ep scr acuity auto | 0 - no modifier bypass | Check pair |
0464T | Visual ep test for glaucoma | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0627T | Perq njx algc fluor lmbr 1st | 0 - no modifier bypass | Check pair |
0629T | Perq njx algc ct lmbr 1st | 0 - no modifier bypass | Check pair |
0630T | Perq njx algc ct lmbr ea | 0 - no modifier bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
10005 | Fna bx w/us gdn 1st les | 1 - modifier may bypass | Check pair |
10007 | Fna bx w/fluor gdn 1st les | 1 - modifier may bypass | Check pair |
10009 | Fna bx w/ct gdn 1st les | 1 - modifier may bypass | Check pair |
10011 | Fna bx w/mr gdn 1st les | 1 - modifier may bypass | Check pair |
10021 | Fna bx w/o img gdn 1st les | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0202T | Post vert arthrplst 1 lumbar | 1 | Check pair |
22315 | Closed tx vert fx w/manj | 1 | Check pair |
22325 | Treat spine fracture | 1 | Check pair |
22327 | Treat thorax spine fracture | 1 | Check pair |
22513 | Perq vertebral augmentation | 0 | Check pair |
22867 | Insj stablj dev w/dcmprn | 1 | Check pair |
22868 | Insj stablj dev w/dcmprn | 1 | Check pair |
22869 | Insj stablj dev w/o dcmprn | 1 | Check pair |
22870 | Insj stablj dev w/o dcmprn | 1 | Check 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.