Home › CPT Codes › CPT 22514

CPT 22514 — Perq vertebral augmentation

CPT code 22514 (Perq vertebral augmentation) carries 7.79 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 173.82 in a non-facility setting and 12.7 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $5,805.74 and $424.19 respectively.

7.79
Work RVU
173.82
Total RVU (non-facility)
$5,805.74
Medicare, non-facility
$424.19
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 22514

ComponentRVUsWhat it covers
Work RVU7.79Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)164.59Office overhead, staff, supplies.
Practice expense RVU (facility)3.47Overhead when performed in a hospital.
Malpractice RVU1.44Professional liability cost.
Total RVU (non-facility)173.82Work + non-facility PE + malpractice.
Total RVU (facility)12.7Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 22514 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility173.82$33.40$5,805.74
Facility12.7$33.40$424.19

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 22514

Global period
10-day global — minor procedure; 10 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 22514

How many work RVUs is CPT 22514?

CPT 22514 is assigned 7.79 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 22514?

At the 2026 national conversion factor of $33.40, CPT 22514 pays approximately $5,805.74 in a non-facility setting and $424.19 in a facility setting before geographic adjustment.

What is the global period for CPT 22514?

10-day global — minor procedure; 10 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.