CPT 22512 · Vertebral Augmentation · Horizon NJ Health — NJ Medicaid
Vertebroplasty — Each Additional Level at Horizon NJ Health — NJ Medicaid.
How Horizon NJ Health — NJ Medicaid approaches CPT 22512 (Vertebroplasty — Each Additional Level) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-05-06
Policy number
L35130Criteria summary
High-level themes from the Horizon NJ Health — NJ Medicaid policy of record for CPT 22512. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Horizon NJ Health — NJ Medicaid criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →