# CPT 22513

> Medicare paid $7,470.93 for CPT 22513 in the office (non-facility) setting and $558.91 in a facility under the Q2 2016 Physician Fee Schedule, effective April 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.3%.

## What it is

A collapsed vertebra in the mid-back is stabilized through a needle passed into the bone, with a balloon or similar device first used to open a cavity inside the crushed vertebral body before bone cement is injected to fill it. X-ray guidance is part of the work. This is the thoracic version; the same technique done in the lower back carries a different code, and further levels treated in the same session are reported separately.

## Selected release

- Release: Q2 2016 (2016 B)
- Effective: April 1 – June 30, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $7470.93
- Facility national allowed amount: $558.91
- Sequestration: not applied

## RVUs and formula

- Work RVU: 8.90
- Office (non-facility) practice expense RVU: 198.04
- Facility practice expense RVU: 4.99
- Malpractice RVU: 1.72
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip
- Parsed file: PPRRVU16_April_V0202.csv, row 5,725
- Canonical page: https://localishealth.com/cpt/22513/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/22513/2016/B
- Last significant update: 2026-08-04T03:06:42+00:00