Our practice has had an issue lately with getting our kyphoplasty (22514) surgeries paid through Medicare. They are getting denied based on medical necessity. We used correct supporting ICD-10 codes but we cannot seem to get Medicare to pay for these surgeries. According to the LCD, this surgery should be covered. Here is an example of what we billed:

22514 – S32.010A

We have appealed all of these surgeries with no luck. Is anyone else having issues with this code? Please advise.

Thank you,
DD