22513 Insurance Policy Changes

Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty - Medicare Advantage (Revised)

Humana Medicare Advantage has updated its policy for percutaneous vertebroplasty, kyphoplasty, and sacroplasty procedures, clarifying coverage criteria based on geographic jurisdictions and explicitly stating that sacroplasty will not be considered medically reasonable and necessary. The policy consolidates coverage determinations across different Medicare Administrative Contractor regions.