Article
2025 Kyphoplasty CPT Code
Bryant Schmitz • Updated Jul 31, 2025
Kyphoplasty CPT codes 22513, 22514, and +22515 are used by interventional radiologists, orthopedic surgeons, and neurosurgeons to report percutaneous vertebral augmentation procedures in the thoracic or lumbar spine. This minimally invasive treatment is often performed to stabilize vertebral compression fractures. Understanding these CPT codes is essential for accurate billing, documentation, and reimbursement. This article provides a detailed breakdown of the appropriate use of kyphoplasty CPT codes in 2025.
Table of Contents
CPT Code for Kyphoplasty
Detailed Description of CPT Code 22513
Detailed Description of CPT Code 22514
Detailed Description of CPT Code +22515
Coding & Billing Considerations
Disclaimer
CPT Code for Kyphoplasty
The primary CPT codes for kyphoplasty are 22513 for thoracic vertebral augmentation and 22514 for lumbar vertebral augmentation. Each code describes treatment at a single level, with add-on code +22515 used for additional levels.
Featured Podcast
Episode # 64 • 20 Dec 2024
Advanced Kyphoplasty Techniques
How can we ensure long-term spine health after tumor ablation? In this follow-up to our previous discussion, Dr. Glade Roper returns to the show to focus on early kyphoplasty treatment for ablation patients, aiming to prevent kyphosis and postural fatigue syndrome.
This podcast is supported by an educational grant from Medtronic.
Detailed Description of CPT Code 22513
• CPT Code: 22513
• Code Description: Percutaneous vertebral augmentation, including cavity creation using mechanical device, e.g., kyphoplasty, 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic
• Inclusions: Cavity creation using a balloon or mechanical device, bone cement injection, unilateral or bilateral cannulation, and all associated imaging guidance
• Exclusions: Additional vertebral levels (reported separately using +22515); procedures outside the thoracic region
Detailed Description of CPT Code 22514
• CPT Code: 22514
• Code Description: Percutaneous vertebral augmentation, including cavity creation using mechanical device, e.g., kyphoplasty, 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar
• Inclusions: Use of kyphoplasty tools in the lumbar spine, imaging guidance, and bone cement application
• Exclusions: Additional vertebral levels (billed with +22515); procedures performed in the thoracic or cervical spine
Detailed Description of CPT Code +22515
• CPT Code: +22515
• Code Description: Each additional thoracic or lumbar vertebral body treated with percutaneous vertebral augmentation, including cavity creation and imaging guidance (List separately in addition to code for primary procedure)
• Inclusions: Augmentation of additional vertebral levels beyond the first, imaging guidance, and all technique-specific elements
• Exclusions: Cannot be used alone; must accompany either 22513 or 22514 as a primary code
Coding & Billing Considerations
• Use 22513 for a single-level thoracic kyphoplasty with all imaging guidance included.
• Use 22514 for a single-level lumbar kyphoplasty with all imaging guidance included.
• Report +22515 for each additional treated vertebral level beyond the first, whether thoracic or lumbar.
• Do not bill separately for fluoroscopic or CT guidance; these are bundled in the kyphoplasty codes.
• Append modifier -RT or -LT only when clinically appropriate, typically not required due to spinal specificity.
• Confirm payer-specific guidelines for bundling or medical necessity documentation.
• Document imaging findings and fracture level clearly to justify the procedure and code selection.
• Ensure medical necessity is supported by radiographic evidence and clinical symptoms.
• Check for Local Coverage Determinations (LCDs) from Medicare contractors for pre-authorization rules.
• Use ICD-10 codes indicating vertebral compression fractures or osteoporotic conditions.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Medtronic was not involved in the creation or delivery of any program content and does not control whether the materials conform to an FDA approved or cleared indication.
The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.