# CPT 22514

> Medicare paid $7,293.52 for CPT 22514 in the office (non-facility) setting and $503.99 in a facility under the Q2 2018 Physician Fee Schedule, effective April 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.4%.

## What it is

The same cement-stabilization of a collapsed vertebra as its mid-back counterpart, but performed in the lower back. A needle enters the crushed vertebral body, a cavity is created inside it, and bone cement is injected to shore up the bone, all under X-ray guidance. The code identifies the lumbar spine specifically; treating an additional vertebra in the same sitting is reported on top of this one.

## Selected release

- Release: Q2 2018 (2018 B)
- Effective: April 1 – June 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $7293.52
- Facility national allowed amount: $503.99
- Sequestration: not applied

## RVUs and formula

- Work RVU: 7.99
- Office (non-facility) practice expense RVU: 193.12
- Facility practice expense RVU: 4.52
- Malpractice RVU: 1.49
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18b.zip
- Parsed file: PPRRVU18_APR.csv, row 6,031
- Canonical page: https://localishealth.com/cpt/22514/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/22514/2018/B
- Last significant update: 2026-08-04T03:08:19+00:00