CPT 22513 · Vertebral Augmentation · GEHA
Kyphoplasty — Thoracic (1st level) at GEHA.
How GEHA approaches CPT 22513 (Kyphoplasty — Thoracic (1st level)) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-01-01
Policy number
GEHA 2026 FEHBCriteria summary
High-level themes from the GEHA 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.
See the full GEHA criteria.
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