CPT 22515 · Vertebral Augmentation · CareFirst BCBS
Kyphoplasty — Each Additional Level at CareFirst BCBS.
How CareFirst BCBS approaches CPT 22515 (Kyphoplasty — Each Additional 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 22515. 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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