# CPT 22514

> Medicare paid $6,797.12 for CPT 22514 in the office (non-facility) setting and $499.12 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it decreased 3.2%.

## 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: Q4 2020 (2020 D)
- Effective: October 1 – December 31, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $6797.12
- Facility national allowed amount: $499.12
- Sequestration: not applied

## RVUs and formula

- Work RVU: 7.99
- Office (non-facility) practice expense RVU: 178.97
- Facility practice expense RVU: 4.46
- Malpractice RVU: 1.38
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip
- Parsed file: PPRRVU20_OCT.csv, row 6,588
- Canonical page: https://localishealth.com/cpt/22514/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/22514/2020/D
- Last significant update: 2026-08-04T03:10:00+00:00