CPT 22511 · Vertebral Augmentation · Highmark Wholecare — PA HealthChoices
Vertebroplasty — Lumbosacral (1st level) at Highmark Wholecare — PA HealthChoices.
How Highmark Wholecare — PA HealthChoices approaches CPT 22511 (Vertebroplasty — Lumbosacral (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-06
Policy number
HealthHelp IPM — Vertebral Augmentation (Vertebroplasty / Kyphoplasty)Criteria summary
High-level themes from the Highmark Wholecare — PA HealthChoices policy of record for CPT 22511. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
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