# CPT 22513

> Medicare paid $5,889.26 for CPT 22513 in the office (non-facility) setting and $513.39 in a facility under the Q1 2023 Physician Fee Schedule, effective January 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 5.2% decrease from the previous quarter.

## 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: Q1 2023 (2023 A)
- Effective: January 1 – March 31, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $5889.26
- Facility national allowed amount: $513.39
- Sequestration: not applied

## RVUs and formula

- Work RVU: 8.65
- Office (non-facility) practice expense RVU: 163.54
- Facility practice expense RVU: 4.90
- Malpractice RVU: 1.60
- Conversion factor: 33.8872
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23a-updated-01/31/2023.zip
- Parsed file: PPRRVU23_JAN.csv, row 7,130
- Canonical page: https://localishealth.com/cpt/22513/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/22513/2023/A
- Last significant update: 2026-08-04T03:12:22+00:00