CPT 22511 · Vertebral Augmentation · Tufts Health Plan
Vertebroplasty — Lumbosacral (1st level) at Tufts Health Plan.
How Tufts Health Plan approaches CPT 22511 (Vertebroplasty — Lumbosacral (1st level)) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.
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Criteria summary
High-level themes from the Tufts Health Plan policy of record for CPT 22511. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Point32Health / Tufts Health Plan Medical Necessity Guidelines
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