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See a sample rate comparisonCPT 22515 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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 Each Additional Thoracic Or Lumbar 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service XS - Separate Structure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22515 |
| Medicaid Fee Schedule | View Medicaid rates for 22515 |
National average reimbursement for CPT 22515 by major payers:
$3,753.75
$5,403.85
$5,059.47
$746.90
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CPT 22515
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$1,511.00Published rateCapital City Surgical Center LLC, Capital City Surgical Center LLC
$574.00Published rateSouthwest Endoscopy Ltd
$220.00Published rateChildrens Surgery Center LLC, Adventhealth Surgery Center Maitland
Childrens Surgery Center LLC
$115.00Published rateThe Eye Surgery Center, Ltd.
$56.00Published rate
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See a sample payer proposalCPT 22515 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22515 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 22515 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 |
| 22515-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 Each Additional Thoracic Or Lumbar Vertebral Body List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22515 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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