Find policies, billing codes, payers, states, and providers
CPT 22513: Percutaneous Vertebral Augmentation (Thoracic Spine)
CPT code 22513 denotes percutaneous vertebral augmentation of the thoracic spine (for example, kyphoplasty), often performed to treat vertebral compression fractures. The code captures image-guided, minimally invasive stabilization procedures that may include fracture reduction and bone biopsy when clinically necessary. Nationally, this code is important because it represents a common interventional treatment for spinal compression injuries in older adults and others at risk of vertebral collapse, with implications for surgical scheduling, site-of-service decisions, and payer coverage policies.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and common billing considerations tied to CPT code 22513. The publication summarizes national benchmarks where available, highlights relevant policy updates affecting coverage and prior authorization, and explains the clinical indications captured by the code. Content is aimed at billing managers, revenue cycle staff, and clinicians seeking a practical reference for coding and claims submission for thoracic vertebral augmentation procedures.
Data not available in the input for associated taxonomies, specific ICD-10 pairings, and related codes.
Customize your policy alerts
Sign up for cpt 22513 policy alerts
Get alerted when payer policies referencing 22513 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 22513 describes a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, performed under imaging guidance to treat compression fractures. The procedure may include reduction of a fracture and bone biopsy for diagnostic purposes when indicated.
Service type: Image-guided spinal surgical procedure (percutaneous vertebral augmentation/kyphoplasty)
Typical site of service: Hospital outpatient department or ambulatory surgical center, with the procedure performed under fluoroscopic or other imaging guidance.