Rubrica

CPT 22514 · Vertebral Augmentation · HMSA (BCBS Hawaii)

Kyphoplasty — Lumbar (1st level) at HMSA (BCBS Hawaii).

How HMSA (BCBS Hawaii) 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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Coverage Not covered
Prior auth No prior auth
Last reviewed 2026-05-03

Criteria summary

High-level themes from the HMSA (BCBS Hawaii) 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: HMSA (Hawaii Medical Service Association) Medical Policy Manual

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