Cigna prior authorization for 22514*: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar
Code
22514*
Description
Percutaneous vertebral augmentation, including cavity creation (fracture
reduction and bone biopsy included when performed) using mechanical
device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral
cannulation, inclusive of all imaging guidance; lumbar
Source
Master Precertification List
For Health Care Providers, Pg 24 Original policy
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