Prior Auth Required

22867 - including image guidance when performed, with open decompression, lumbar; single level

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceincluding image guidance when performed, with open decompression, lumbar; single level
Procedure / Service Description

Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, - 22865 Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, 22867 including image guidance when performed, with open decompression, lumbar; single level Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level

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.