Prior Auth Required

22614 - interspace (List separately in addition to code for primary procedure)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceinterspace (List separately in addition to code for primary procedure)
Procedure / Service Description

Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, - 22612 transverse technique, when performed) Arthrodesis, posterior or posterolateral technique, single interspace; each additional 22614 interspace (List separately in addition to code for primary procedure) Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to 22630 prepare interspace (other than for decompression), single interspace; lumbar

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.