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Response to Comments: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
A58462
Effective: March 11, 2021
Updated: December 31, 2025
Policy Summary
This revision clarifies that percutaneous vertebral augmentation (PVA) is covered for vertebral compression fractures (VCF) and explicitly expands coverage to include subacute fractures occurring 6–12 weeks after onset. The policy adds a continuum-of-care approach and removes the prior requirement for multidisciplinary team consensus; administrative effective dates and comment/meeting dates are noted.
Coverage Criteria Preview
Key requirements from the full policy
"Percutaneous vertebral augmentation (PVA) is covered for treatment of vertebral compression fracture (VCF), with coverage explicitly expanded to include subacute fractures occurring 6–12 weeks afte..."
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