CPT 22514 · Vertebral Augmentation · CareFirst BCBS
Kyphoplasty — Lumbar (1st level) at CareFirst BCBS.
How CareFirst BCBS approaches CPT 22514 (Kyphoplasty — Lumbar (1st level)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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CareFirst-eviCore-MSK-Spine (Vertebral Augmentation)Criteria summary
High-level themes from the CareFirst BCBS policy of record for CPT 22514. 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: eviCore Musculoskeletal Spine Surgery — CareFirst BCBS PA List + Vertebral Augmentation Guideline
See the full CareFirst BCBS criteria.
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