CPT 22514 · Vertebral Augmentation · MedStar Family Choice — Maryland Medicaid
Kyphoplasty — Lumbar (1st level) at MedStar Family Choice — Maryland Medicaid.
How MedStar Family Choice — Maryland Medicaid approaches CPT 22514 (Kyphoplasty — Lumbar (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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L35130Criteria summary
High-level themes from the MedStar Family Choice — Maryland Medicaid 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: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)
See the full MedStar Family Choice — Maryland Medicaid criteria.
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