Does Medicare Cover Kyphoplasty?
By Daniel Petkevich
Dec 9, 2022
You're covered if you meet these requirements
Dealing with back pain suffered from a fracture related to osteoporosis can be challenging. A kyphoplasty procedure is an appealing option to those who need more than just medication but don't want to endure major surgery. Medicare covers Kyphoplasty under Part B, but you must meet certain conditions. Let's see what those are below.
Speak with a Medicare Advocate
What is Kyphoplasty?
Kyphoplasty, also known as vertebroplasty, is a minimally invasive procedure used to treat painful vertebral fractures that can be caused by osteoporosis or another injury. It involves the insertion of medical balloons into the fractured bone and then filling them with bone cement. With kyphoplasty, most people who get the procedure are sent home the same day. The benefits of kyphoplasty include reduced pain, improved posture, better mobility, and improved quality of life.
How does Medicare cover Kyphoplasty?
In order to be eligible for Medicare coverage, you must meet certain Medicare requirements:
The procedure must be performed in an outpatient hospital setting that is certified by Medicare.
It must be determined to be medically necessary by your doctor or a Medicare-approved provider.
You must have proof of a vertebral fracture (such as an X-ray or MRI).
Talking with your doctor is critical before opting for this procedure. This content is for informational purposes only and does not constitute medical advice.
What are the costs associated with Kyphoplasty?
The cost of kyphoplasty varies depending on the facility and other factors. Medicare will typically cover 80% of the cost, but you may be responsible for any remaining costs or copayments. Be sure to check with your healthcare provider and Medicare before having the procedure done.
How to find a doctor who performs Kyphoplasty procedures?
Before having Kyphoplasty, you'll need to find a qualified healthcare provider who can perform the procedure. You can search online for doctors and hospital listings that specialize in Kyphoplasty procedures and contact them for more information. Be sure to ask about their experience with the procedure, qualifications, and costs. Also, check your Medicare Advantage plan to see if it covers Kyphoplasty.
The risks and side effects of Kyphoplasty
Potential side effects should also be discussed with your doctor prior to the procedure. While Kyphoplasty is generally considered safe, it can cause complications such as infection and nerve damage, so it is important that you understand all of the risks before proceeding.
Takeaway
Kyphoplasty is a minimally invasive procedure that can help reduce pain, improve posture, and improve mobility. Medicare Part B covers Kyphoplasty under certain conditions, but it is important to check with your healthcare provider and Medicare before having the procedure done. This content is for informational purposes only. Call a Fair Square Medicare expert today for all your Medicare-related questions.
Recommended Articles
Does Medicare Cover Linx Surgery?
Dec 6, 2022
Does Medicare Cover COVID Tests?
Dec 21, 2022
Does Retiring at Age 62 Make Me Eligible for Medicare?
Jun 16, 2022
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Nov 30, 2022
How Much Does a Medicare Coach Cost?
Mar 20, 2023
Can I Laminate My Medicare Card?
Dec 22, 2022
The Easiest Call You'll Ever Make
Jun 28, 2023
Does Medicare Cover Hepatitis C Treatment?
Nov 22, 2022
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
Can Medicare Help with the Cost of Tyrvaya?
Jan 12, 2023
Does Medicare Cover Cervical Disc Replacement?
Jan 20, 2023
Medigap Plan N vs. Plan G — Which One Fits You in 2025?
Jul 14, 2025
Denied Coverage? What to Do When Your Carrier Says No
Jul 15, 2025
What To Do If Your Medicare Advantage Plan Is Discontinued
Feb 26, 2024
Does Medicare Cover Cartiva Implants?
Nov 29, 2022
What is a Medicare Beneficiary Ombudsman?
Apr 11, 2023
How Much Does Trelegy Cost with Medicare?
Jan 24, 2023
What is the Medicare ICEP?
Apr 7, 2023
More of our articles
13 Best Ways for Seniors to Stay Active in Philadelphia
13 Best Ways for Seniors to Stay Active in Phoenix
14 Best Ways for Seniors to Stay Active in Nashville
14 Best Ways for Seniors to Stay Active in Washington, D.C.
20 Questions to Ask Your Medicare Agent
Can Doctors Choose Not to Accept Medicare?
Can I Choose Marketplace Coverage Instead of Medicare?
Comparing All Medigap Plans | Chart Updated for 2025
Costco Pharmacy Partners with Fair Square
Do All Hospitals Accept Medicare Advantage Plans?
Do I Need Medicare If My Spouse Has Insurance?
Do You Need Books on Medicare?
Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?
Does Medicare Cover a Spinal Cord Stimulator?
Does Medicare Cover Air Purifiers?
Does Medicare Cover Bariatric Surgery?
Does Medicare Cover Cala Trio?
Does Medicare Cover Cataract Surgery?
Does Medicare Cover Chiropractic Visits?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Disposable Underwear?
Does Medicare Cover ESRD Treatments?
Does Medicare Cover Flu Shots?
Does Medicare Cover Fosamax?
Does Medicare Cover Hoarding Cleanup?
Does Medicare Cover Incontinence Supplies?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Ketamine Infusion for Depression?
Does Medicare Cover Kidney Stone Removal?
Does Medicare Cover Kyphoplasty?
Does Medicare Cover Lipoma Removal?
Does Medicare Cover LVAD Surgery?
Does Medicare Cover Nexavar?
Does Medicare Cover Orthodontic Care?
Does Medicare Cover Physicals & Blood Work?
Does Medicare Cover Robotic Surgery?
Does Medicare Cover Service Animals?
Does Medicare Cover TENS Units?
Does Medicare Cover Vitamins?
Does Medicare Cover Xiafaxan?
Does Medicare Have Limitations on Hospital Stays?
Does Medicare Pay for Allergy Shots?
Does Medicare Pay for Antivenom?
Does Medicare Pay for Funeral Expenses?
Does Your Medicare Plan Cover B12 Shots?
Does Your Plan Include A Free Gym Membership?
Everything About Your Medicare Card + Medicare Number
Explaining IRMAA on Medicare
Fair Square Bulletin: We're Revolutionizing Medicare
Fair Square Client Newsletter: AEP Edition
Finding the Best Vision Plans for Seniors
Health Savings Accounts (HSAs) and Medicare
How Are Medicare Star Ratings Determined?
How Much Does a Pacemaker Cost with Medicare?
How Much Does Open Heart Surgery Cost with Medicare?
How to Choose a Medigap Plan
How to Enroll in Social Security
How Your Employer Insurance and Medicare Work Together
Is Balloon Sinuplasty Covered by Medicare?
Is HIFU Covered by Medicare?
Is PAE Covered by Medicare?
Last Day to Change Your Medicare Part D Plan
Medicare Consulting Services
Medicare Guaranteed Issue Rights by State
Should You Work With A Remote Medicare Agent?
What Are Medicare Part B Excess Charges?
What If I Don't Like My Plan?
What Is Medical Underwriting for Medigap?
What Is the Medicare Birthday Rule in Nevada?
When Can You Change Medicare Supplement Plans?
Will Medicare Cover Dental Implants?
Will Medicare Cover it?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M
Fair Square Medicare
