CPT 22513 · Vertebral Augmentation · Independence Blue Cross
Kyphoplasty — Thoracic (1st level) at Independence Blue Cross.
How Independence Blue Cross 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
IBX-precert-2026-01-01Criteria summary
High-level themes from the Independence Blue Cross 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: Independence Blue Cross — Vertebroplasty/Kyphoplasty (precert via Carelon)
See the full Independence Blue Cross 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 →