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BackTable / MSK / Article
2025 Kyphoplasty CPT Code
Bryant Schmitz • Updated Jul 31, 2025 • 78 hits
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
(1) CPT Code for Kyphoplasty
(2) Detailed Description of CPT Code 22513
(3) Detailed Description of CPT Code 22514
(4) Detailed Description of CPT Code +22515
(5) Coding & Billing Considerations
(6) 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.
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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.
Podcast Contributors
Dr. Glade Roper
Dr. Glade Roper is an MSK radiologist specializing in imaging and interventions with VIP Specialists in Visalia, California.
Dr. Jacob Fleming
Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.
Cite This Podcast
BackTable, LLC (Producer). (2024, December 20). Ep. 64 – Advanced Kyphoplasty Techniques [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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