Reimbursement Policy Monitoring

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CPT procedure code

22511

Medicare payment

$1,773.92

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

22511

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

—

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 22511

CLV Intelligence is tracking 6 policy changes that cite CPT 22511 between 2026-06-05 and 2026-07-30, drawn from 6 LCD/NCD coverage updates. The changes span Orthopedics.

LCD/NCD coverage updates: 6

Counts reflect the source documents CLV has matched to CPT 22511 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 22511

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L38213: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) — WPS

Orthopedics · LCD-L38213

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

LCD L34106: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) — Noridian

Orthopedics · LCD-L34106

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

LCD L38201: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) — CGS

Orthopedics · LCD-L38201

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

LCD L38737: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) — Palmetto GBA

Orthopedics · LCD-L38737

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

LCD L33569: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) — NGS

Orthopedics · LCD-L33569

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

LCD L34228: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) — Noridian

Orthopedics · LCD-L34228

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

Audit documentation

Building an audit file that includes CPT 22511?

The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

See audit packs — $349One-time purchase · not a subscription

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