Rubrica

CPT 22523 · Vertebral Augmentation · Pennsylvania Medical Assistance

Kyphoplasty — Thoracic (legacy) at Pennsylvania Medical Assistance.

How Pennsylvania Medical Assistance approaches CPT 22523 (Kyphoplasty — Thoracic (legacy)) 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 Pennsylvania Medical Assistance policy of record for CPT 22523. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Pennsylvania Medicaid Clinical Coverage Policies

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