Balloon kyphoplasty may be considered medically necessary for the treatment of symptomatic thoracolumbar osteoporotic vertebral compression fractures that have failed to respond to conservative treatment (eg, analgesics, physical therapy, rest) for at least 6 weeks.
Mechanical vertebral augmentation with an FDA-cleared device may be considered medically necessary for the treatment of symptomatic thoracolumbar osteoporotic vertebral compression fractures that have failed to respond to conservative treatment (eg, analgesics, physical therapy, rest) for at least 6 weeks.
Balloon kyphoplasty may be considered medically necessary for the treatment of severe pain due to osteolytic lesions of the spine related to multiple myeloma or metastatic malignancies.
Mechanical vertebral augmentation with an FDA-cleared device may be considered medically necessary for the treatment of severe pain due to osteolytic lesions of the spine related to multiple myeloma or metastatic malignancies.
Balloon kyphoplasty or mechanical vertebral augmentation with an FDA-cleared device is considered investigational for all other indications, including use in acute vertebral fractures due to osteoporosis or trauma.
Radiofrequency kyphoplasty is considered investigational.
Mechanical vertebral augmentation using any other device is considered investigational.
