Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
J6 · Effective Oct 1, 2015
19 active Medicare policies list 22513, and 16 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J15 · Effective Nov 18, 2019
J9 · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
16 policies from 13 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 22513 |
|---|---|---|
| Level of Care for Surgical Procedures | Nov 15, 2025 | Covered |
| Spine Surgery | Sep 19, 2026 | Covered |
| Spine Surgery [for Wellpoint Massachusetts] | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Cigna Commercial Spine Surgery Code List |
JJ · Effective Nov 28, 2021
JM · Effective Nov 28, 2021
J5 · Effective Dec 16, 2019
J8 · Effective Dec 16, 2019
J6 · Effective Apr 1, 2026
National · Effective Nov 6, 2025
National · Effective Oct 8, 2025
J5 · Effective Aug 1, 2024
JL · Effective Jul 12, 2020
J9 · Effective Jul 12, 2020
National · Effective Aug 21, 2022
| Mar 7, 2026 |
| Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
|---|
| Policy | Effective | Status of 22513 |
|---|---|---|
| Back Pain - Invasive Procedures | Mar 13, 2024 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| EOCCO Spine Surgery Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Health Partners Plans Spine Surgery Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Percutaneous Vertebroplasty and Kyphoplasty | Mar 1, 2026 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| The Health Plan Spine Surgery Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Percutaneous Vertebroplasty and Kyphoplasty | Mar 1, 2026 | Covered |
| Policy | Effective | Status of 22513 |
|---|---|---|
| Percutaneous Vertebroplasty and Kyphoplasty | Mar 1, 2026 | Covered |