CPT 22514
Global 010 ActivePerq vertebral augmentation
CPT 22514 Billing & Documentation Guide
CPT code 22514 (Perq vertebral augmentation) is classified under Surgery (Musculoskeletal) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.79, a non-facility practice expense RVU of 164.59, and a malpractice RVU of 1.44, a total non-facility RVU of 173.82 and facility RVU of 12.7. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $6044.01, though rates vary from $5007.28 to $8241.92 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 22514, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 22514 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 22514 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 22514
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.79 | 7.79 |
| Practice Expense RVU | 164.59 | 3.47 |
| Malpractice RVU | 1.44 | 1.44 |
| Total RVU | 173.82 | 12.7 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 22514
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $6800.61 | $432.74 | $6315.61 - $8241.92 | 29 |
| Florida | $5869.6 | $470.11 | $5588.05 - $6104.68 | 3 |
| Georgia | $5562.7 | $428.7 | $5221.25 - $5904.15 | 2 |
| Illinois | $5664.93 | $465.01 | $5354.54 - $5993.13 | 4 |
| Michigan | $5490 | $436.72 | $5333.67 - $5646.33 | 2 |
| North Carolina | $5420.05 | $399.06 | $5420.05 - $5420.05 | 1 |
| New York | $6470.88 | $467.22 | $5516.59 - $6902.64 | 5 |
| Ohio | $5327.85 | $414.49 | $5327.85 - $5327.85 | 1 |
| Pennsylvania | $5698.71 | $427.48 | $5352.31 - $6045.11 | 2 |
| Texas | $5718.55 | $420.41 | $5307.56 - $6119.63 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 22514
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 22514 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0171T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 01935 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01936 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01937 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01938 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01939 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01940 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01941 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01942 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 22514
What does CPT code 22514 mean? +
CPT code 22514 represents: Perq vertebral augmentation. It's in the Surgery (Musculoskeletal) category with a global period of 010.
What is the Medicare reimbursement for CPT 22514? +
The 2026 Medicare national average non-facility payment for CPT 22514 is $6044.01. Rates range from $5007.28 to $8241.92 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 22514? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 22514? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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