CPT 22515 · Vertebral Augmentation · BCBS Tennessee
Kyphoplasty — Each Additional Level at BCBS Tennessee.
How BCBS Tennessee approaches CPT 22515 (Kyphoplasty — Each Additional Level) for prior-authorization review: at last review on 2025-09-11, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-09-11
Policy number
BCBS-TN MPM (Vertebroplasty/Kyphoplasty)Criteria summary
High-level themes from the BCBS Tennessee policy of record for CPT 22515. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full BCBS Tennessee criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →