CPT 22515 · Vertebral Augmentation · Excellus BCBS
Kyphoplasty — Each Additional Level at Excellus BCBS.
How Excellus BCBS approaches CPT 22515 (Kyphoplasty — Each Additional Level) for prior-authorization review: at last review on 2026-04-27, 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
2026-04-27
Policy number
6.01.17Criteria summary
High-level themes from the Excellus 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.
See the full Excellus BCBS 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 →