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See a sample rate comparisonCPT 22512 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Vertebroplasty Addl Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Each Additional Cervicothoracic Or Lumbosacral Vertebral Body List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 22512 |
| Medicaid Fee Schedule | View Medicaid rates for 22512 |
National average reimbursement for CPT 22512 by major payers:
$887.50
$1,228.93
$1,199.16
$412.58
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CPT 22512
5 of 25 sample ratesHigher to lower in this preview
Advocate Southwest Ambulatory Surgery Center LLC, Tinley Woods Surgery Center
Advocate Southwest Ambulatory Surge
$5,000.00Published rateTimonium Surgery Center, LLC
Timonium Surgery Center LLC
$555.00Published rateFindlay Surgery Center Ltd
Findlay Surgery Center, Ltd
$275.00Published rateSouth Central Surgical Center, LLC, Center For Specialty Care
South Central Surgical Center LLC
$125.00Published rateMississippi Urology Outpatient Surgery Center, LLC
Mississippi Urology Outpatient Surgery Center LLC
$54.00Published rate
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See a sample payer proposalCPT 22512 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22512 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 22512 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 22510-CPT | High | Perq Cervicothoracic Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Cervicothoracic |
| 22511-CPT | High | Perq Lumbosacral Injection, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Lumbosacral |
| 22512-CPT | Moderate | Vertebroplasty Addl Inject, Percutaneous Vertebroplasty Bone Biopsy Included When Performed 1 Vertebral Body Unilateral Or Bilateral Injection Inclusive Of All Imaging Guidance Each Additional Cervicothoracic Or Lumbosacral Vertebral Body List Separately In Addition To Code For Primary Procedure |
| 22513-CPT | High | Perq Vertebral Augmentation, Percutaneous Vertebral Augmentation Including Cavity Creation Fracture Reduction And Bone Biopsy Included When Performed Using Mechanical Device Eg Kyphoplasty 1 Vertebral Body Unilateral Or Bilateral Cannulation Inclusive Of All Imaging Guidance Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22512 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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