Fair Square Medicare Wordmark

Does Medicare Cover Kyphoplasty?

Caucasian nurse holding spine model against the patients backs. Clinic interior. stock photo
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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Closeup of a male Doctor or physiotherapist doing stretching for a patient in the clinic for examining treating injured of back stock photo
Does Medicare Cover Chiropractic Visits?
Dec 22, 2022
air purifier stock image
Does Medicare Cover Air Purifiers?
Nov 18, 2022
Cover image
How Often Can I Change Medicare Plans?
May 5, 2023
Medicare 2023 What you need to know in the new year stock image
How is Medicare Changing in 2023?
Dec 21, 2022
Fair Square
Building the Future of Senior Healthcare
Aug 25, 2022
Nasal spray stock image
Can Medicare Help with the Cost of Tyrvaya?
Jan 12, 2023
Senior woman fretting in front of her laptop stock photo
How Medicare Costs Can Pile Up
Oct 11, 2022
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Tymlos?
Dec 5, 2022
Close up of a woman sitting on a bed experiencing back pain
Does Medicare Cover TENS Units?
Nov 23, 2022
Last will and testament stock photo
Does Medicare Pay for Funeral Expenses?
Dec 6, 2022
Senior black man standing up and experiencing knee pain stock image
Does Medicare Cover Zilretta?
Nov 28, 2022
Saving money against a stopwatch stock image
What is the 8-Minute Rule on Medicare?
Dec 21, 2022
senior man with his glasses in his hand working in front of his laptop stock photo
Can I Change Medicare Advantage Plans Any Time? | Medicare Plans
Sep 19, 2022
Close up top view of a woman showing a round-shaped Lipoma fatty tumor on an open palm stock photo
Does Medicare Cover Lipoma Removal?
Dec 8, 2022
bearded man holding his head in confusion looking at his laptop stock image
Why Is Medicare So Confusing?
Apr 19, 2023
Doctor talking to patients are explaining the treatment of a patient's illness stock photo
How Much Does Rexulti Cost with Medicare?
Jan 24, 2023
Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Does Medicare Cover Oxybutynin?
Dec 2, 2022
scleral lenses
Does Medicare Cover Scleral Lenses?
Dec 5, 2022

More of our articles

15 Best Ways for Seniors to Stay Active in Denver

20 Questions to Ask Your Medicare Agent

2023 Medicare Annual Election Period (AEP)

2024 "Donut Hole" Updates

2024 Cost of Living Adjustment

2024 Medicare Price Changes

Are Medicare Advantage Plans Bad?

Can I Change My Primary Care Provider with an Advantage Plan?

Can I Have Two Primary Care Physicians?

Can I Laminate My Medicare Card?

Can I Use Medicare Part D at Any Pharmacy?

Costco Pharmacy Partners with Fair Square

Do I Need Medicare If My Spouse Has Insurance?

Does Medicare Cover an FMT?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Compounded Medications?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Disposable Underwear?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Mental Health?

Does Medicare Cover Nexavar?

Does Medicare Cover Nuedexta?

Does Medicare Cover Ofev?

Does Medicare Cover Ozempic?

Does Medicare Cover Piqray?

Does Medicare Cover Qutenza?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover Stair Lifts?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Xiafaxan?

Does Medicare Pay for Allergy Shots?

Does Medicare pay for Opdivo?

Everything About Your Medicare Card + Medicare Number

Explaining IRMAA on Medicare

Fair Square Bulletin: We're Revolutionizing Medicare

How Can I Get a Replacement Medicare Card?

How Does Medicare Pay for Emergency Room Visits?

How Much Does a Medicare Coach Cost?

How Much Does a Pacemaker Cost with Medicare?

How Much Does Medicare Cost?

How Much Does Medicare Part A Cost in 2023?

How Much Does Medicare Part B Cost in 2023?

How to Become a Medicare Agent

Is Botox Covered by Medicare?

Is Fair Square Medicare Legitimate?

Is Gainswave Covered by Medicare?

Medicare & Ozempic

Medicare 101

Medicare Advantage Plans for Disabled People Under 65

Medicare Guaranteed Issue Rights by State

Medicare Savings Programs in Kansas

Medigap vs. Medicare Advantage

Plan G vs. Plan N

Seeing the Value in Fair Square

Top 10 Physical Therapy Clinics in San Diego

Welcome to Fair Square's First Newsletter

What is a Medicare Beneficiary Ombudsman?

What Is Medical Underwriting for Medigap?

What People Don't Realize About Medicare

What to Do When Your Doctor Doesn't Take Medicare

What's the Deal with Flex Cards?

What's the Difference Between HMO and PPO Plans?

When Can You Change Medicare Supplement Plans?

Will Medicare Cover Dental Implants?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2024

Terms of Use
Notice of Privacy Practices

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. © 2024 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