# CPT 22513

> Medicare paid $7,047.45 for CPT 22513 in the office (non-facility) setting and $539.14 in a facility under the Q3 2019 Physician Fee Schedule, effective July 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 3.8%.

## 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: Q3 2019 (2019 C)
- Effective: July 1 – September 30, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $7047.45
- Facility national allowed amount: $539.14
- Sequestration: not applied

## RVUs and formula

- Work RVU: 8.65
- Office (non-facility) practice expense RVU: 185.31
- Facility practice expense RVU: 4.72
- Malpractice RVU: 1.59
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19c.zip
- Parsed file: PPRRVU19_JUL.csv, row 6,293
- Canonical page: https://localishealth.com/cpt/22513/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/22513/2019/C
- Last significant update: 2026-08-04T03:09:02+00:00