CPT 22511 · Vertebral Augmentation · Humana Healthy Horizons in Florida
Vertebroplasty — Lumbosacral (1st level) at Humana Healthy Horizons in Florida.
How Humana Healthy Horizons in Florida 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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HUM-0367-019Criteria summary
High-level themes from the Humana Healthy Horizons in Florida policy of record for CPT 22511. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Imaging concordance documentation required.
Source: Humana MCP HUM-0367-019 — Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty (HHH-FL adopts)
See the full Humana Healthy Horizons in Florida criteria.
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