CPT 22513 · Vertebral Augmentation · Cigna
Kyphoplasty — Thoracic (1st level) at Cigna.
How Cigna approaches CPT 22513 (Kyphoplasty — Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-11, the policy covers this code with prior authorization required.
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MCP-0093Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.
Criteria summary
High-level themes from the Cigna policy of record for CPT 22513. 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.
Source: Cigna Medical Coverage Policy 0093 — Vertebroplasty, Kyphoplasty, Sacroplasty
See the full Cigna criteria.
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