CPT 22513 · Vertebral Augmentation · Maryland Physicians Care
Kyphoplasty — Thoracic (1st level) at Maryland Physicians Care.
How Maryland Physicians Care approaches CPT 22513 (Kyphoplasty — Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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MPC PA-086Criteria summary
High-level themes from the Maryland Physicians Care policy of record for CPT 22513. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 2 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: MPC PA-086 — Vertebral Augmentation / NIA IPM Guidelines
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