CPT 22514 · Vertebral Augmentation · Arkansas Total Care
Kyphoplasty — Lumbar (1st level) at Arkansas Total Care.
How Arkansas Total Care approaches CPT 22514 (Kyphoplasty — Lumbar (1st level)) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.
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Criteria summary
High-level themes from the Arkansas Total Care policy of record for CPT 22514. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Arkansas Total Care (Centene) Medicaid Clinical Policy
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