CPT 22521 · Spinal Fusion · New York Medicaid
Vertebroplasty — Lumbar (1st level) at New York Medicaid.
How New York Medicaid approaches CPT 22521 (Vertebroplasty — Lumbar (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-06
Criteria summary
High-level themes from the New York Medicaid policy of record for CPT 22521. 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: New York Medicaid eMedNY Coverage Policy
See the full New York Medicaid criteria.
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