NY State Workers' Comp Vertebroplasty/Kyphoplasty prior authorization requirements (2026)

What NY State Workers' Comp generally requires to approve Vertebroplasty/Kyphoplasty (CPT 22510, 22511, 22512, 22513, 22514, 22515), for workers_comp plans. Yes. NY State Workers' Comp generally requires prior authorization for Vertebroplasty/Kyphoplasty (CPT 22510, 22511, 22512, 22513, 22514, 22515).

General reference compiled from public sources, last verified 2026-06-26. This is not a coverage determination or medical advice. Always confirm current requirements with NY State Workers' Comp before submitting.

Medical-necessity criteria NY State Workers' Comp generally applies

Vertebroplasty/kyphoplasty requires prior authorization (on the 324.3 always-PA list; submit a PAR/Variance to the carrier via OnBoard). NY WC Mid and Low Back MTG (Section E.7): may be considered for select patients with vertebral body compression fractures associated with a subacute fracture and severe pain not responding to conservative measures; patients who fracture despite bisphosphonate therapy are particularly appropriate. No numeric pain cutoff or fixed conservative-care duration is specified in the MTG for augmentation.

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Vertebroplasty/Kyphoplasty. Confirm the covered diagnosis list against the current NY State Workers' Comp policy.

M80.08XAAge-related osteoporosis with current pathological fracture, vertebra(e), initial encounterM48.50XACollapsed vertebra, not elsewhere classified, site unspecified, initial encounter

How to submit

Sources & verification

  • BindingSource — NY WCB Mid and Low Back Injury Medical Treatment Guidelines (Section E.7) · effective 2022-05-02.View

Binding = the payer's own policy. Proxy = a public, evidence-based clinical guideline the payer mirrors. Portal-only = the binding criteria are confirmed in the administrator's portal. Always confirm against the payer for the member's specific plan. Last verified 2026-06-26.

Frequently asked questions

Does NY State Workers' Comp require prior authorization for Vertebroplasty/Kyphoplasty?

Yes. NY State Workers' Comp generally requires prior authorization for Vertebroplasty/Kyphoplasty (CPT 22510, 22511, 22512, 22513, 22514, 22515).

What does NY State Workers' Comp require to approve Vertebroplasty/Kyphoplasty?

Vertebroplasty/kyphoplasty requires prior authorization (on the 324.3 always-PA list; submit a PAR/Variance to the carrier via OnBoard). NY WC Mid and Low Back MTG (Section E.7): may be considered for select patients with vertebral body compression fractures associated with a subacute fracture and severe pain not responding to conservative measures; patients who fracture despite bisphosphonate the… Always confirm against the current NY State Workers' Comp policy.

How long does a NY State Workers' Comp prior authorization take?

Turnaround varies by plan and submission method. Check the NY State Workers' Comp portal for current timeframes.

Submitting Vertebroplasty/Kyphoplasty to NY State Workers' Comp?

Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.

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Other NY State Workers' Comp prior authorization requirements

Anterior Cervical Discectomy and FusionArthroplasty (Joint Replacement)Arthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairArtificial Intervertebral Disc Surgery (Cervical Spine)Artificial Intervertebral Disc Surgery (Lumbar Spine)Cervical, Lumbar and Thoracic Laminectomy and/or Laminotomy ProceduresDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyKnee MeniscectomyPain Management ProceduresShoulder Arthroscopy Rotator Cuff RepairSpinal Fusion Surgery

Related guides

Why was my prior authorization denied? Top reasons and how to fix eachHow to write a prior authorization appeal that cites policy