CPT code 22514 represents a percutaneous vertebral augmentation procedure of the lumbar spine — typically kyphoplasty — used to stabilize and restore height in vertebral compression fractures. Performed under imaging guidance, the procedure can include fracture reduction and bone biopsy when clinically indicated. Nationally, this code is significant because it captures a high-cost, image-guided surgical intervention with implications for hospital and ambulatory surgery center utilization, device supply chain, and postprocedure care pathways.

Key payers in the national landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage policies and prior authorization requirements vary across these payers, affecting access and site-of-service decisions.

Readers will find a concise clinical and billing context for CPT code 22514, including service definitions, typical settings of care, and the kinds of benchmarks and policy topics that commonly accompany vertebral augmentation coding (utilization rates, payer coverage criteria, and coding specificity for imaging-guided spinal procedures). Data not available in the input will be noted where applicable. The publication aims to inform coding professionals, hospital administrators, and clinicians about the procedural scope and payer considerations tied to this code.