Prior Auth Required

22513 - Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePercutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included
Procedure / Service Description

injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List - injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure) 22513 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

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.