Prior Auth Required

22515 - biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicebiopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body
Procedure / Service Description

cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary - 22514 unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone 22515 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)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.