CPT 22514 · Vertebral Augmentation · UnitedHealthcare (Commercial)
Kyphoplasty — Lumbar (1st level) at UnitedHealthcare (Commercial).
How UnitedHealthcare (Commercial) approaches CPT 22514 (Kyphoplasty — Lumbar (1st level)) for prior-authorization review: at last review on 2026-04-24, the policy covers this code with prior authorization required.
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2026T0581QCriteria summary
High-level themes from the UnitedHealthcare (Commercial) policy of record for CPT 22514. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Imaging concordance documentation required.
Source: UHC Commercial/Individual Exchange — Percutaneous Vertebroplasty and Kyphoplasty
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