Rubrica

CPT 22521 · Vertebral Augmentation · New Jersey Medicaid

Vertebroplasty — Lumbar (1st level) at New Jersey Medicaid.

How New Jersey Medicaid approaches CPT 22521 (Vertebroplasty — Lumbar (1st level)) for prior-authorization review: at last review on 2026-05-07, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-07

Criteria summary

High-level themes from the New Jersey Medicaid policy of record for CPT 22521. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: NJ Division of Medical Assistance and Health Services (DMAHS)

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